{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:15:00Z","timestamp":1783509300537,"version":"3.55.0"},"reference-count":11,"publisher":"MDPI AG","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Hallucal sesamoid injuries occur in approximately 5% to 10% of foot and ankle injuries. Most cases can be treated conservatively. However, when nonoperative management fails, surgical intervention is warranted.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    The present case involved a 17-year-old female high school senior who presented to the clinic with right hallux pain. Radiographs were obtained and revealed congenital absence of the fibular sesamoid and evidence of a minimally displaced avulsion fracture involving the proximal medial tibial sesamoid. Treatment was complicated by the congenital absence of the fibular sesamoid and by a high activity level.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    After conservative treatment failure, the patient underwent partial excision of her tibial sesamoid. She was followed for 1.5 years after initial presentation to our clinic. The patient was able to return to daily activities; however, she was not able to return to softball competitively due to pain.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    We hypothesize she was unable to return to softball because the absence of a sesamoid can decrease push-off strength. We recommend that providers treating athletes educate their patients on the possible loss of strength and take this into account when creating a treatment plan.\n                  <\/jats:p>","DOI":"10.7547\/21-043","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T09:53:30Z","timestamp":1683021210000},"source":"Crossref","is-referenced-by-count":1,"title":["Partial Excision of a Tibial Sesamoid Fracture Nonunion in a Patient with Congenital Absence of Fibular Sesamoid: A Case Study"],"prefix":"10.3390","volume":"113","author":[{"given":"Bryanna","family":"Vesely","sequence":"first","affiliation":[{"name":"Wake Forest Baptist Medical Center, Winston Salem, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca R.","family":"Sikora","sequence":"additional","affiliation":[{"name":"Wake Forest Baptist Medical Center, Winston Salem, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dekarlos","family":"Dial","sequence":"additional","affiliation":[{"name":"Wake Forest Baptist Medical Center, Winston Salem, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"J Am Acad Orthop Surg","first-page":"745","article-title":"The hallucal sesamoid complex","volume":"14","author":"Dedmond BT","year":"2006","unstructured":"Dedmond BT, Cory JW, McBryde A Jr: The hallucal sesamoid complex. J Am Acad Orthop Surg 14: 745, 2006.17148622"},{"key":"B2","series-title":"J Foot Ankle Surg","first-page":"31","article-title":"Osteonecrosis of the tibial and fibular sesamoids in an aerobics instructor","volume":"36","author":"Julsrud ME","year":"1997","unstructured":"Julsrud ME: Osteonecrosis of the tibial and fibular sesamoids in an aerobics instructor. J Foot Ankle Surg 36: 31, 1997."},{"key":"B3","series-title":"Phys Sportsmed","first-page":"441","article-title":"Hallux sesamoid fractures in young athletes","volume":"47","author":"Stein CJ","year":"2019","unstructured":"Stein CJ, Sugimoto D, Slick NR, : Hallux sesamoid fractures in young athletes. Phys Sportsmed 47: 441, 2019.31109214"},{"key":"B4","series-title":"Foot Ankle Int","first-page":"462","article-title":"The effect of hallux sesamoid resection on the effective moment of the flexor hallucis brevis","volume":"15","author":"Aper RL","year":"1994","unstructured":"Aper RL, Saltzman CL, Brown TD: The effect of hallux sesamoid resection on the effective moment of the flexor hallucis brevis. Foot Ankle Int 15: 462, 1994.7820237"},{"key":"B5","series-title":"Clin Orthop Relat Res","first-page":"209","article-title":"The effect of hallux sesamoid excision on the flexor hallucis longus moment arm","volume":"325","author":"Aper RL","year":"1996","unstructured":"Aper RL, Saltzman CL, Brown TD: The effect of hallux sesamoid excision on the flexor hallucis longus moment arm. Clin Orthop Relat Res 325: 209, 1996."},{"key":"B6","series-title":"Am J Sports Med","first-page":"3603","article-title":"Functional outcome of sesamoid excision in athletes","volume":"48","author":"Dean RS","year":"2020","unstructured":"Dean RS, Coetzee JC, McGaver RS, : Functional outcome of sesamoid excision in athletes. Am J Sports Med 48: 3603, 2020.33095661"},{"key":"B7","series-title":"Foot Ankle Int","first-page":"803","article-title":"Evaluation of hallux alignment and functional outcome after isolated tibial sesamoidectomy","volume":"26","author":"Lee S","year":"2005","unstructured":"Lee S, James WC, Cohen BE, : Evaluation of hallux alignment and functional outcome after isolated tibial sesamoidectomy. Foot Ankle Int 26: 803, 2005.16221451"},{"key":"B8","series-title":"Foot Ankle Int","first-page":"1375","article-title":"Efficacy, outcomes, and alignment following isolated fibular sesamoidectomy via a plantar approach","volume":"40","author":"Ford SE","year":"2019","unstructured":"Ford SE, Adair CR, Cohen BE, : Efficacy, outcomes, and alignment following isolated fibular sesamoidectomy via a plantar approach. Foot Ankle Int 40: 1375, 2019."},{"key":"B9","series-title":"Foot Ankle Int","first-page":"415","article-title":"Return to activity after sesamoidectomy in athletically active individuals","volume":"24","author":"Saxena A","year":"2003","unstructured":"Saxena A, Krisdakumtorn T: Return to activity after sesamoidectomy in athletically active individuals. Foot Ankle Int 24: 415, 2003.12801198"},{"key":"B10","series-title":"Foot Ankle Clin","first-page":"135","article-title":"The great toe: failed turf toe, chronic turf toe, and complicated sesamoid injuries","volume":"14","author":"McCormick JJ","year":"2009","unstructured":"McCormick JJ, Anderson RB: The great toe: failed turf toe, chronic turf toe, and complicated sesamoid injuries. Foot Ankle Clin 14: 135, 2009.19501799"},{"key":"B11","series-title":"Foot Ankle Int","first-page":"704","article-title":"Sesamoidectomy for hallux sesamoid fractures","volume":"33","author":"Bichara DA","year":"2012","unstructured":"Bichara DA, Henn RF III, Theodore GH: Sesamoidectomy for hallux sesamoid fractures. Foot Ankle Int 33: 704, 2012.22995255"}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/2\/21-043.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/113\/2\/21-043.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/113\/2\/21-043.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:09Z","timestamp":1783505949000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/113\/2\/21043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":11,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.7547\/21-043","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3]]}}}