How Doctors Diagnose Sesamoid Fractures: A Peek Inside the Process
How Doctors Diagnose Sesamoid Fractures: A Peek Inside the Process
The Big Picture
Diagnosing sesamoid fractures involves a careful examination and various imaging techniques. Learn how doctors figure out what's causing your foot pain.
Contents
- Initial Examination
- Imaging Techniques
- Identifying Partite Sesamoids
Initial Examination
Doctors start by asking about your symptoms and activities. They will examine your foot for pain around the big toe joint. Direct palpation and moving the toe can help pinpoint the fracture location.
Imaging Techniques
X-rays are usually the first step in diagnosing a sesamoid fracture. If the fracture isn't visible, doctors might use an MRI or CT scan. These advanced imaging methods provide a more detailed view of the bones.
Identifying Partite Sesamoids
Partite sesamoids, which are normal variants, can sometimes be confused with fractures. They have smooth borders unlike the jagged edges of a fracture. Comparing both feet with imaging can help distinguish between the two.
FAQs
What is the first step in diagnosing a sesamoid fracture?
Doctors start with a symptom assessment and foot examination.
Why are X-rays used?
X-rays help visualize potential fractures in the sesamoid bones.
What if X-rays don't show a fracture?
An MRI or CT scan can be used for a more detailed examination.
How can partite sesamoids be identified?
They have smooth borders and can be compared with the other foot using imaging.
Wrapping Up
Accurate diagnosis is key to treating sesamoid fractures effectively.
Additional References
- Hockenbury RT. Forefoot problems in athletes. Med Sci Sports Exerc 1999; 31:S448.
- Lombard C, Gillet R, Rauch A, et al. Hallux sesamoid complex imaging: a practical diagnostic approach. Skeletal Radiol 2020; 49:1889.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.