ntaneous Fracture of the Tibial Sesamoid: A case report

Abstract

A tibial sesamoid fracture is described. A female, while walking in an airport, experiences discomfort and pain under the first metatarsal head while wearing a high-heel shoe. Clinical investigation reveals a spontaneous fracture of the tibial sesamoid. The patient also has associated hallux valgus. Conservative treatment and surgical options are presented and discussed. The patient, after failed conservative treatment, had the sesamoid removed and a simple bunionectomy performed. It appears that a centrally placed tibial sesamoid with associated hallux valgus can cause a spontaneous fracture of the tibial sesamoid under the right circumstances.