Sesamoiditis of the Foot Wheeless

Description: inflammation and swelling around the sesamoid (tibial> fibular) and FHB can be secondary to trauma, infection, AVN, stress fractures, or a systemic disorder;
- sesamoiditis may also be precipitated by a cavus foot w/ excessive wt bearing under the first metatarsal;
- sesamoid shape may vary and in some cases may be especially thick or pointed;
- a sharp pointed sesamoid might cause a deep seated callus to form under it, and extra-articular shaving or partial excision of the plantar half may afford relief