The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Symptomatic Hallucal Interphalangeal Sesamoid Bones Successfully Treated with Ultrasound-guided Injection - A Case Report -

  • Shin, Hye Young (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Park, Soo Young (Korea University Medical Center) ;
  • Kim, Hye Young (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Jung, Yoo Sun (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • An, Sangbum (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Kang, Do Hyung (Department of Neuropsychiatry, Seoul National University Hospital)
  • Received : 2012.10.05
  • Accepted : 2012.12.14
  • Published : 2013.04.01
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Abstract

The hallucal interphalangeal sesamoid bone is usually asymptomatic, but it is not uncommon for it to be symptomatic in cases of undue pressure, overuse, or trauma. Even in symptomatic cases, however, patients often suffer for extended periods due to misdiagnosis, resulting in depression and anxiety that can steadily worsen to the extent that symptoms are sometimes mistaken for a somatoform disorder. Dynamic ultrasound-guided evaluations can be an effective means of detecting symptomatic sesamoid bones, and a simple injection of a small dose of local anesthetics mixed with steroids is an easily performed and effective treatment option in cases, for example, of tenosynovitis.

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References

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  1. Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon Associated with the Plantar Capsular Accessory Ossicle at the Interphalangeal Joint of the Great Toe vol.2017, pp.2090-6757, 2017, https://doi.org/10.1155/2017/2146762