Foot Sesamoid X-Ray

Lower Limbs Axial plantar tangential view VAR
Objective

Assessment of the tibial and fibular sesamoids of the 1st metatarsal. Indicated in sesamoiditis, sesamoid fracture, osteochondrosis (Renander disease), hallux valgus with sesamoid pathology, chronic plantar pain at the great toe.

Quality criteria

Both sesamoids (tibial and fibular) visualised separately.
Space between sesamoids and head of 1st metatarsal visible.
Sharp bony outline of the sesamoids.

Common errors

Insufficient dorsiflexion — sesamoids obscured by the metatarsal.
Beam not tangential — sesamoid superimposition.
Field not centred over the metatarsal head.

Paziente seduto con ginocchio esteso. Piede in dorsiflessione massima (alluce tirato verso la gamba). Detettore posizionato sotto…

Full card in the app

Positioning, centring, DR/CR parameters and practical notes

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