BRINGING SCIENCE TO TREATMENT

Sesamoid stress fracture: no small issue

Sesamoid bones are some of the smallest in the body. Yet, they can pose a big problem when injured. Trevor Langford discusses the anatomy, biomechanics, and clinical relevance of a stress fracture of the sesamoid bones and reviews management options. Sports such as running, dancing, and gymnastics often require forceful forefoot dorsiflexion while in a weight-bearing position. This posture places excessive stress on the sesamoid bones of the first metatarsophalangeal joint (MTPJ). Repetitive stresses in the area can result in stress fractures of the

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