Symptomatic Hallucal Interphalangeal Sesamoid Bones Successfully Treated with Ultrasound-guided Injection: A Case Report.
10.3344/kjp.2013.26.2.173
- Author:
Hye Young SHIN
1
;
Soo Young PARK
;
Hye Young KIM
;
Yoo Sun JUNG
;
Sangbum AN
;
Do Hyung KANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
flexor hallucis longus tendon;
foot pain;
injection;
interphalangeal sesamoid;
somatoform disorder;
ultrasound
- MeSH:
Anesthetics, Local;
Anxiety;
Depression;
Diagnostic Errors;
Humans;
Sesamoid Bones;
Somatoform Disorders;
Steroids;
Tenosynovitis
- From:The Korean Journal of Pain
2013;26(2):173-176
- CountryRepublic of Korea
- Language:English
-
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.
