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KMID : 0363120130260020173
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Korean Journal of Pain
2013 Volume.26 No. 2 p.173 ~ p.176
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Symptomatic Hallucal Interphalangeal Sesamoid Bones Successfully Treated with Ultrasound-guided Injection - A Case Report -
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Shin Hye-Young
Park Soo-Young
Kim Hye-Young
Jung Yoo-Sun
An Sang-Bum
Kang Do-Hyung
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Abstract
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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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KEYWORD
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flexor hallucis longus tendon, foot pain, injection, interphalangeal sesamoid, somatoform disorder, ultrasound
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