Sesamoid: Difference between revisions

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== Description  ==
== Description  ==
[[File:Sesamoid Bone.png|thumb]]
Sesamoid bones are a type of bone that develops in some tendons where they cross the ends of long bones<ref name=":0">Moore KL, Dalley AF, R. AAM. Clinically oriented anatomy. Philadelphia, PA: Lippincott Williams and Wilkins; 2018.</ref>. Sesamoids ossify during puberty and delayed ossification can indicate delayed onset of puberty.


=== Structure  ===
Sesamoid bones in the human body include:
 
* [[Patella]] - in the [[Quadriceps Muscle|quadriceps]] tendon at the knee
* Hallux sesamoids - medial/tibia and lateral/fibular in the [[Flexor Hallucis Brevis|flexor hallucis brevis]] tendon at the 1st metatarsophalangeal joint
* In the hand at the head of the 1st metacarpal - 1 in the combined tendon of the [[Flexor Pollicis Brevis|flexor pollicis brevis]] and [[Abductor Pollicis Brevis|abductor pollicis brevis]], 1 in the tendon of the [[Adductor Pollicis|adductor pollicis]]
* [[Pisiform]] - in the [[Flexor Carpi Ulnaris Muscle|flexor carpi ulnaris]] tendon


== Function  ==
== Function  ==
 
Sesamoids protect tendons from excessive wear and act as a spacer to change the angle of tendons before the reach their attachment point<ref name=":0" />.
=== Articulations  ===
 
=== Muscle attachments  ===


== Clinical relevance  ==
== Clinical relevance  ==
Pathology in sesamoids can be congenital or a result of trauma. Common pathology seen in sesamoid bones include:


== Assessment  ==
* Bipartite or multipartite patella<ref>Oohashi Y, Koshino T, Oohashi Y. Clinical features and classification of bipartite or tripartite patella. Knee Surg Sports Traumatol Arthrosc. 2010 Nov;18(11):1465-9.</ref>
 
* [[Sesamoiditis]]
== Treatment  ==
* Avascular necrosis<ref>Bartosiak K, McCormick JJ. Avascular Necrosis of the Sesamoids. Foot Ankle Clin. 2019 Mar;24(1):57-67.</ref>
* Fracture


== Resources  ==
== Resources  ==
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[[Category:Anatomy]] [[Category:Bones]]
[[Category:Anatomy]] [[Category:Bones]]
[[Category:Hand - Anatomy]]
[[Category:Knee - Bones]]
[[Category:Foot - Bones]]

Revision as of 17:52, 21 February 2022

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Description[edit | edit source]

Sesamoid Bone.png

Sesamoid bones are a type of bone that develops in some tendons where they cross the ends of long bones[1]. Sesamoids ossify during puberty and delayed ossification can indicate delayed onset of puberty.

Sesamoid bones in the human body include:

Function[edit | edit source]

Sesamoids protect tendons from excessive wear and act as a spacer to change the angle of tendons before the reach their attachment point[1].

Clinical relevance[edit | edit source]

Pathology in sesamoids can be congenital or a result of trauma. Common pathology seen in sesamoid bones include:

Resources[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 Moore KL, Dalley AF, R. AAM. Clinically oriented anatomy. Philadelphia, PA: Lippincott Williams and Wilkins; 2018.
  2. Oohashi Y, Koshino T, Oohashi Y. Clinical features and classification of bipartite or tripartite patella. Knee Surg Sports Traumatol Arthrosc. 2010 Nov;18(11):1465-9.
  3. Bartosiak K, McCormick JJ. Avascular Necrosis of the Sesamoids. Foot Ankle Clin. 2019 Mar;24(1):57-67.