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PubMed1997

Ossification of the sesamoid bone at the base of the first finger in Czech boys and girls.

Ossification of the sesamoid bone of the first finger was studied in left hand-and-wrist X-rays of 296 Czech boys and 272 girls 9 to 15 years old using data collected between 1962 and 1966. The logit and the YES or NO methods were used in treating the data. A sesamoid bone, clearly visible to the naked eye, was considered as positive and when it was not yet visible, as negative. The sesamoid bone was developed in 50 per cent of boys at the age of 13.6 years and in 50 per cent of girls at the age of 11.2 years. This stage preceded the age at onset of menarche in Czech girls by 1.9 years. Boys showed a greater variability (SD = 1.4) than girls (SD = 0.8). Both sexes with clearly visible (ossified) sesamoid bones in their first fingers showed to be, on the average, taller and heavier in comparison with the Czech standard and with those boys and girls of corresponding ages without the sesamoid bone. In contrast to the still continuing secular trend in stature in Czech youths, the age of menarche remained in the last cca 30 years unchanged. In view of the close link between bone age and onset of menarche which remained unchanged for the past 30 years, we may consider our finding as still applicable to present-day adolescents.

Adolescent↗
PubMed2003

Correlation of racing performance with radiographic changes in the proximal sesamoid bones of 487 Thoroughbred yearlings.

REASONS FOR PERFORMING STUDY: Proximal sesamoiditis has been a common and confusing radiographic diagnosis in Thoroughbred yearling surveys. This study categorised the radiographic appearance of yearling proximal sesamoid bones and determined their effect on the number of races started and earning potential for racing at ages 2 and 3 years. HYPOTHESIS: Yearlings with moderate to severe proximal sesamoiditis have decreased performance at age 2 and 3 years. METHODS: Survey radiographs of 487 Thoroughbred yearlings were reviewed. Proximal sesamoid bones were examined and findings placed into 7 categories, 5 of which measured size, shape, and number of vascular canals, and 2 examined the radiographic shape of the sesamoid abaxial surface. Records of horses age 2 and 3 years were reviewed to obtain the number of races completed and money won in those races. RESULTS: Vascular canals with parallel sides < 2 mm in width in any number were normal. Yearlings with 1 or 2 abnormally conformed vascular canals (nonparallel sides and > 2 mm in width) had a decrease in number of race starts at age 2 years when compared to normal horses. This same change in the fore- or hindlimbs was associated with decreases in starts and earnings at age 2 years. If uniformly present in both fore- and hindlimbs there was no difference from normal horses. Yearlings with > 2 irregular vascular canals had a decrease in number of race starts and earnings at age 2 and 3 years. Changes in proximal sesamoid bone contour did not affect performance. CONCLUSIONS: Horses with enlarged vascular canals, within their sesamoids as yearlings, start fewer races and earn less prize money than horses with normal vascular canals. POTENTIAL RELEVANCE: One or two enlarged canals affected horses as 2-year-olds. Three or more enlarged vascular canals affected horses at ages 2 and 3 years, which should be taken into account when examining radiographs for potential purchase of young horses.

Age Factors↗
PubMed1996

The arterial shift features in the equine proximal sesamoid bone.

Sesamoidosis in horses is characterised by lameness and radiographic changes in the proximal sesamoid bones and the aetiology is attributed to either mechanical factors or circulatory disturbances. In this study arteriograms of proximal sesamoid bones were investigated in 17 lame patients suffering from sesamoidosis, 6 sound horses and 4 yearlings. The arterial patterns of the proximal sesamoid bones from the patients, showed a shift from an abaxial to a basal arterial blood supply. This shift was only found in radiographically changed bones. Histological evaluation showed a significantly higher percentage of arteries with a large diameter in sections from the base of proximal sesamoid bones that showed an arterial shift. The presence of the shift appeared to be related to a change in shape of the bone, in particular to new bone formation along the abaxial border. The results of this study suggest that in horses suffering from sesamoidosis changes in the arterial pattern arise which might be a compensatory mechanism in respons to a vascular iischaemic challenge. Further investigations are needed to characterise the initial stimulus that induces this compensation and to determine if the compensation is sufficient to maintain a continuous and adequate blood supply.

Aging↗
PubMedDate not supplied

In vitro biomechanical properties of 2 compression fixation methods for midbody proximal sesamoid bone fractures in horses.

OBJECTIVE: To evaluate 2 methods of midbody proximal sesamoid bone repair--fixation by a screw placed in lag fashion and circumferential wire fixation--by comparing yield load and the adjacent soft-tissue strain during monotonic loading. STUDY DESIGN: Experimental study. SAMPLE POPULATION: 10 paired equine cadaver forelimbs from race-trained horses. METHODS: A transverse midbody osteotomy of the medial proximal sesamoid bone (PSB) was created. The osteotomy was repaired with a 4.5-mm cortex bone screw placed in lag fashion or a 1.25-mm circumferential wire. The limbs were instrumented with differential variable reluctance transducers placed in the suspensory apparatus and distal sesamoidean ligaments. The limbs were tested in axial compression in a single cycle until failure. RESULTS: The cortex bone screw repairs had a mean yield load of 2,908.2 N; 1 limb did not fail when tested to 5,000 N. All circumferential wire repairs failed with a mean yield load of 3,406.3 N. There was no statistical difference in mean yield load between the 2 repair methods. The maximum strain generated in the soft tissues attached to the proximal sesamoid bones was not significantly different between repair groups. CONCLUSIONS: All repaired limbs were able to withstand loads equal to those reportedly applied to the suspensory apparatus in vivo during walking. CLINICAL RELEVANCE: Each repair technique should have adequate yield strength for repair of midbody fractures of the PSB immediately after surgery.

Animals↗
PubMed2001

Radial sesamoid bone as a part of the manipulation system in the lesser panda (Ailurus fulgens).

The well-developed radial sesamoid bone presented a rod-like shape in the lesser panda. It could be separated into two components: (1) an ulnar cartilaginous, (2) a radial osseous part. The radial sesamoid bone was connected with four elements as follows: (1) the tendon of the M. abductor pollicis longus, (2) M. abductor pollicis brevis and M. opponens pollicis, (3) Aponeurosis palmaris, and (4) Flexor retinaculum. The bone made no articulation with the first metacarpal. The movement of the radial sesamoid bone may be controlled by the connecting muscles and muscle-related structures. It is suggested that the bone acts as a supporting ridge in the gripping action in the lesser panda. However, we suggest that the grasping mechanism is obviously different from that of the giant panda, in which the radial sesamoid bone is connected strongly with the first metacarpal.

Animals↗
PubMed1994

Progression and association with lameness and racing performance of radiographic changes in the proximal sesamoid bones of young standardbred trotters.

Radiographic examination of the metacarpo- and metatarsophalangeal joints was performed on 753 Standardbred trotters (6-21 months of age): 21 showed obvious changes in 26 proximal sesamoid bones on lateromedial projection. The radiographic changes were divided into 6 different types: (1) irregular abaxial margin (8 horses); (2) enlargement of the sesamoid bone (6 horses); (3) 'fracture' or separate centre of ossification of the apex (4 horses); (4) vertical, non-articular fracture of the plantar part of the sesamoid bone (1 horse); (5) a small bony fragment located in a defect in the apical part of the bone (2 horses); and (6) multiple areas of decreased radiodensity (1 horse). Each horse displayed only one type of radiographic change except for one which possessed those of types 3 and 5. Follow-up radiographic examination of 21 of the 26 affected proximal sesamoid bones at approximately 6-month intervals revealed a reduction in the changes in 13 bones and an unaltered condition in 8. Lameness examination was performed on 16 of the 21 horses at 3 years of age and 14 (87.5%) were observed to be lame, but detected lameness did not seem to be referrable to the sesamoid changes. Earnings after the racing season as 3- and 4-year-old horses showed no differences (P > 0.05) between horses with radiographic changes in the proximal sesamoid bones and those without such changes.

Animals↗
PubMed1979

Fractures of the proximal sesamoid bones in thoroughbred foals.

Eighteen cases of fractures of the proximal sesamoid bones in Thoroughbred foals are described. Most of the fractures were in foals under 2 months old and all but one occurred in the forelegs. The bones commonly fractured when the foal galloped to exhaustion trying to keep up with its dam in the paddock. The types of fracture varied but a simple fracture of the medial sesamoid was most frequent and the majority were towards the base of the bone. Six foals sustained a fracture of more than one sesamoid bone and one foal fractured all 4 proximal sesamoid bones in its front legs. Treatment included box rest and the surgical removal of the separated piece of sesamoid bone. Only 3 of the foals treated have raced. One of these was treated surgically.

Animals↗
PubMed1995

Anatomic and radiographic appearance of a sesamoid bone in the tendon of origin of the supinator muscle of the cat.

Results of radiologic and anatomic studies of each cubital articulation (elbow) of a group of 50 adult cat cadavers indicated that a sesamoid bone may be located in a constantly present sesamoid cartilage associated with the tendon of origin of the supinator muscle. Radiography revealed a sesamoid bone in 40 of the 100 tendons of origin of the supinator muscles dissected from the elbows. The sesamoid bone articulated with the craniolateral aspect of the head of the radius, and the larger sesamoid cartilage, which contained the bone, articulated with the head of the radius and the capitulum of the humerus. Of several possible functions of the sesamoid cartilage (bone), it was considered that protection of the craniolateral part of the humeroradial articulation and maintenance of the complex anatomic system during joint movement were important. In radiographic views of the elbows of lame cats, the sesamoid bone should not be mistaken for a chip fracture or an osteocartilaginous loose body.

Animals↗
PubMed1999

Coincident development of sesamoid bones and clues to their evolution.

Sesamoid bones form within tendons in regions that wrap around bony prominences. They are common in humans but variable in number. Sesamoid development is mediated epigenetically by local mechanical forces associated with skeletal geometry, posture, and muscular activity. In this article we review the literature on sesamoids and explore the question of genetic control of sesamoid development. Examination of radiographs of 112 people demonstrated that the relatively infrequent appearances of the fabella (in the lateral gastrocnemius tendon of the knee) and os peroneum (in the peroneus longus tendon of the foot) are related within individuals (P < 0.01). This finding suggests that the tendency to form sesamoids may be linked to intrinsic genetic factors. Evolutionary character analyses suggest that the formation of these sesamoids in humans may be a consequence of phylogeny. These observations indicate that variations of intrinsic factors may interact with extrinsic mechanobiological factors to influence sesamoid development and evolution.

Adult↗
PubMed1986

[Diagnosis and treatment of sesamoid bone fractures in the dog foot].

Fragmentation could be due to direct injury or the fact that normal sesamoid bones are subjected to repeated stress. Osteochondrosis could also be a factor in aetiology. Multiple primordia of a fragmented sesamoid bone could produce a picture of fragmentation. Combining the results of selective clinical and radiological examination is of importance prior to proceeding to treatment. Both in chronic cases and in the event of failure of a recent fracture to heal after immobilisation, the decision will consist in surgical excision of fragments. The results of surgical treatment in seven out of eleven dogs having one or several fragmented sesamoid bones, which were referred for surgery, are reported-Locomotion was fully restored to normal following surgery in every case. When surgical treatment was carried out earlier, recovery was attained more rapidly.

Animals↗
PubMed1988

The ventral metacarpo- and metatarso-phalangeal sesamoid bones: comparative anatomy and evolutionary aspects.

A study of comparative anatomy was made to determine the distribution of metapodo-phalangeal sesamoid bones among the different mammalian species for a better understanding of the variations and origins of these bones in man, and that in the context of renewed interest in non-metrical characteristics of the post-cranial skeleton in physical anthropology. The material used included 457 non-primate mammalian skeletons divided into 18 orders, 63 families, and 161 genera, 211 non-human primate skeletons divided into 37 genera, and 2,500 human radiographs (1,250 hands and 1,250 feet). 2 sesamoid bones were constantly observed for each metapodo-phalangeal joint in almost all mammalian orders. Modifications of the general mammalian pattern were observed only in man and a small number of primate genera, all closely related to man and called anthropoid apes; these modifications consist of the more or less complete disappearance of some or all sesamoid bones and often of a morphological heteropody. All the genera concerned use brachiation or probably have brachiating ancestors. Some morphological characteristics could apparently be related to specific modes of locomotion, namely the shape, more or less oblong, pear-like or round, according to genera or digits, and the possible fusion of the 2 sesamoid bones of the same digit to form a unique ossified structure.

Adult↗
PubMedDate not supplied

Magnetic resonance imaging findings in the equine deep digital flexor tendon and distal sesamoid bone in advanced navicular disease--an ex vivo study.

We describe the abnormal magnetic resonance (MR) imaging findings in the deep digital flexor tendon (DDFT) and distal sesamoid bone in horses with radiographic changes compatible with navicular syndrome. Thirteen postmortem specimens were examined using a 1.5-T magnetic field, with spin echo (SE) T1-weighted, turbo SE (TSE) proton density-weighted (with and without fat saturation), and fat saturation TSE T2-weighted sequences. The limbs were then dissected to compare the MR findings with the gross assessment and histologic examination of the DDFT and distal sesamoid bones. Tendonous abnormalities were detected by MR imaging in 12 DDFTs and confirmed at necropsy. Most tendon lesions were located at the level of the distal sesamoid bone and the proximal recess of the podotrochlear bursa. Tendon lesions were classified based on their MR imaging features as core lesions, dorsal lesions, dorsal abrasions, and parasagittal splits. Areas of increased MR signal in the DDFTs were characterized by tendon fiber disturbance and lack of continuity of the collagen fibers, foci of edema, hemorrhages, and formation of lakes containing eosinophilic plasma-like material or amphophilic material of low density. Bone marrow signal alterations in the distal sesamoid bone were seen in all digits. Two main phenomena were responsible for the abnormal signal, respectively, in T1-weighted (decreased signal) and in T2-weighted fat-suppressed images (increased signal): a decrease in the fat marrow content in the trabecular spaces and an increase in the fluid content. Histologic examination revealed foci of bone marrow edema, hemorrhage, necrosis, and fibrosis. Cyst formation and trabecular abnormalities (disorganization, thinning, remodelling) were also observed in areas of abnormal signal intensity. Increased bone density because of trabecular thickening induced a decrease in signal in all sequences.

Animals↗
PubMed1999

Congenital absence of the lateral metatarso-phalangeal sesamoid bone of the human hallux: a case report.

A case of congenital absence of the lateral metatarsophalangeal sesamoid bone of the hallux is reported, in a 47-year-old woman. The lateral sesamoid bone was absent on the right hallux, and extremely reduced on the left hallux. The normal intersesamoidean crest and both sesamoidean grooves of the metatarsal head were absent. Physical examination was normal, and no functional disturbance resulted from this variant. Only two previous cases have been found in the literature. It must be distinguished from a total resorption due to an infectious process, or from an absence due to surgical excision. This absence can be related to the general tendency of disappearance of the sesamoid bones within hominoid primates.

Ankle Injuries↗
PubMed2006

Computer-assisted surgery for screw insertion into the distal sesamoid bone in horses: an in vitro study.

OBJECTIVE: To compare the precision of computer-assisted surgery with a conventional technique (CV) using a special guiding device for screw insertion into the distal sesamoid bone in horses. STUDY DESIGN: In vitro experimental study. SAMPLE POPULATION: Cadaveric forelimb specimens. METHODS: Insertion of a 3.5 mm cortex screw in lag fashion along the longitudinal axis of intact (non-fractured) distal sesamoid bones was evaluated in 2 groups (8 limbs each): CV and computer-assisted surgery (CAS). For CV, the screw was inserted using a special guiding device and fluoroscopy, whereas for CAS, the screw was inserted using computer-assisted navigation. The accuracy of screw placement was verified by radiography, computed tomography, and specimen dissection. RESULTS: Surgical precision was better in CAS compared with CV. CONCLUSION: CAS improves the accuracy of lateromedial screw insertion, in lag fashion, into the distal sesamoid bone. CLINICAL RELEVANCE: The CAS technique should be considered for improved accuracy of screw insertion in fractures of the distal sesamoid bone.

Animals↗
PubMed2006

Popliteus muscle sesamoid bone (cyamella): appearance on radiographs, CT and MRI.

Popliteus muscle sesamoid bone, also known as cyamella, is an accessory ossicle that is located in the vicinity of the proximal musculo tendinous junction. While commonly seen in small mammals such as cats and dogs, its presence in humans is very rare. In this report, we present the radiological findings of the popliteus muscle sesamoid bone, incidentally detected in a 47-year-old male. CT and MRI features of this ossicle are described.

Diagnosis, Differential↗
PubMed1985

Stress fractures of the sesamoid bones of the first metatarsophalangeal joint in athletes.

Over a period of 11 years 15 cases of stress fractures of the sesamoid bones of the first metatarsophalangeal (MTP) joint were treated in athletes. The mean age of the patients was 22.3 years, and there were 9 males and 6 females in the series. All patients were athletes, who began to suffer from the symptoms during training without any trauma. Eight fractures were located in the medial, six in the lateral sesamoid bone, and in one case both sesamoids were affected. The diagnosis was performed on the basis of the history, symptoms, clinical examination, and radiological, or isotope scanning findings. Ten of the patients were treated conservatively by prescribing an avoidance of excessive physical activity and better training shoes. In five cases surgical excision of the fragmented painful sesamoid bone was performed. There were no complications in the series and the athletes could start gradually training 6-8 weeks after the operation. The histology showed fibrotic non-union at the fracture site and supported the diagnosis of stress fracture. Three of the conservatively treated athletes had mild symptoms in intensive training, others had a good end result.

Adolescent↗
PubMed1984

Radiologic and anatomic observations of plantar sesamoid bones at the tarsometatarsal articulations of greyhounds.

In Greyhounds, 2 plantar sesamoid bones were identified in radiographs taken of the intact tarsus and also of the tarsometatarsal fibrocartilage, that had been dissected free from the joints. Anatomic dissections defined the precise position of each sesamoid. A prominent sesamoid was present on the lateral side of the tarsometatarsal articulation in 50% of the tarsi; it is proposed that this bone be named the lateral plantar tarsometatarsal sesamoid bone. A smaller bone was detected on the medial side of the tarsometatarsal articulation in 27% of the tarsi; it is proposed that this bone be named the intra-articular tarsometatarsal sesamoid bone.

Animals↗