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Department of Podiatry

Bipartite Sesamoids

The sesamoids which lie within the tendons of the flexor halucis brevis tendons are quite commonly found to be bipartite. It is not uncommon for this presentation to be asypmtomatic. It usually affects the tibial sesamoid. Differentiation is made from a fractured sesamoid by smooth, rounded borders and bilateral presence. To assist the differentiation between fracture and congenital aetiology, clinical history is critical.

 

The borders of the tibial sesamoids are smooth and rounded with no sclerosis. There is also bilateral presentation suggesting that this a normal variation rather than a fracture.

 

 


Content Approved by: Head of Podiatry

Page maintained by: Podiatry Webmaster

Last Updated: July 8th, 2003