{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:11:55Z","timestamp":1787796715637,"version":"build-2784847793"},"reference-count":17,"publisher":"SAGE Publications","issue":"14","license":[{"start":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T00:00:00Z","timestamp":1603411200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2020,12]]},"abstract":"\n Background:<\/jats:title>\n Sesamoid injuries can have a significant effect on the ability of athletes to return to play. The literature shows mixed results with sesamoid excisions and the ability to return to sports.<\/jats:p>\n <\/jats:sec>\n \n Hypothesis\/Purpose:<\/jats:title>\n The purpose was to describe patient-reported outcomes and return to sports in athletes after sesamoidectomy with a proper surgical technique and a well-structured rehabilitation protocol. It was hypothesized that sesamoid excision would demonstrate reproducible and encouraging long-term patient outcomes.<\/jats:p>\n <\/jats:sec>\n \n Study design:<\/jats:title>\n Case series; Level of evidence, 4.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n All patients from a single surgeon\u2019s practice who underwent sesamoidectomy between January 2006 and September 2015 were identified. Medial sesamoids were excised through a medial approach, and lateral sesamoids were excised through a plantar approach. The plantar structures were adequately repaired after excision. The Foot Function Index\u2013Revised (FFI-R), 12-Item Short Form Health Survey (SF-12), and visual analog scale (VAS) were collected preoperatively and at subsequent follow-up appointments. A patient satisfaction survey and Single Assessment Numeric Evaluation (SANE) questionnaire were also collected. Athletes were defined as those who participated in sports at a high school level or higher.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Of the 108 feet that met the inclusion criteria, 26 werelost to follow-up, leaving 82 feet for analysis at a mean 31.3 \u00b1 26.0 months. There were 72 female patients and 10 male patients included in the final analysis, with a mean age of 44.9 \u00b1 20.2 years. There were 54 medial, 18 lateral, and 10 medial and lateral sesamoid excisions. There were 26 competitive athletes with follow-up appointments (dancer, n = 12; pivot sport athlete, n = 8; runner, n = 6). Both the entire study population and the athletes demonstrated a significant improvement in SF-12, SANE, VAS, and FFI-R cumulative at the latest available follow-up ( P < .05). Among the athletes, 80% were able to return to competitive sports at a mean 4.62 \u00b1 1.01 months after surgery. The median satisfaction score among all patients was 97.5%. There was no difference in the success rate between the different etiologies at any of the follow-up intervals.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Chronic sesamoid pain is difficult to treat, but this study confirms that with a meticulous surgical technique and a dedicated postoperative rehabilitation program, encouraging patient-reported outcomes can be expected with a minimal risk of complications. Moreover, in the current study, 80% of competitive athletes were able to return to sports at a mean of 4.62 months after surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/0363546520962518","type":"journal-article","created":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T13:02:12Z","timestamp":1603458132000},"page":"3603-3609","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Functional Outcome of Sesamoid Excision in Athletes"],"prefix":"10.1177","volume":"48","author":[{"given":"Robert S.","family":"Dean","sequence":"first","affiliation":[{"name":"Twin Cities Orthopedics, Eagan, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Chris","family":"Coetzee","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Eagan, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca Stone","family":"McGaver","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Eagan, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquelyn E.","family":"Fritz","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Eagan, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence J.","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Eagan, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,23]]},"reference":[{"key":"bibr1-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1177\/036354658801600419"},{"key":"bibr2-0363546520962518","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0704"},{"key":"bibr3-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302400207"},{"key":"bibr4-0363546520962518","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200612000-00006"},{"key":"bibr5-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719868734"},{"key":"bibr6-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30965-0"},{"key":"bibr7-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2014.06.003"},{"key":"bibr8-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502601003"},{"key":"bibr9-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.12.019"},{"key":"bibr10-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(05)70208-8"},{"key":"bibr11-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1177\/1941738113486588"},{"key":"bibr12-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1097\/00132587-200312000-00008"},{"key":"bibr13-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1177\/107110078700700405"},{"key":"bibr14-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2014.11.011"},{"key":"bibr15-0363546520962518","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v5.i2.146"},{"key":"bibr16-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2019.1622246"},{"key":"bibr17-0363546520962518","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2014.06.014"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546520962518","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0363546520962518","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546520962518","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:50:34Z","timestamp":1777369834000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0363546520962518"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,23]]},"references-count":17,"journal-issue":{"issue":"14","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1177\/0363546520962518"],"URL":"https:\/\/doi.org\/10.1177\/0363546520962518","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,23]]}}}