Sesamoid Injury

Sesamoid disorders are a common cause of forefoot pain, especially in athletes. The sesamoid complex can be affected by significant mechanical stress and anatomic variations causing numerous pathologic processes. The range of etiologies is enormous, but the main focus of this study will be of stress fractures specifically to the first metatarsal. Treatment options include conservative management with orthotics and immobilization, as well as, operative interventions that involve a sesamoidectomy. This study aims to outline common pathologies, the benefits and risks of operative and non-operative management, and set-backs that may occur during surgery and or rehabilitation. A detailed rehabilitation protocol will be included, allowing for clinicians