Painful sesamoid of the great toe

Figure 1 Diagrammatic representation of a cross section through the distal metatarsal and sesamoids.

Figure 2 X-ray to demonstrate a case of sesamoid coalition.

Figure 3 Photograph to show surface markings of the tibial (T) and fibular (F) sesamoids.

Figure 4 Photograph to show patient positioning to obtain a sesamoid axial view.

Figure 5 Symptomatic non-union may be treated with percutaneous screw fixation, open fixation or open bone grafting. A: X-ray to show a symptomatic non-union of a sesamoid fracture; B: Magnetic resonance imaging scan demonstrating fracture of the sesamoid; C: Post-operative X-ray following fixation of a non-union sesamoid fracture.