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Sesamoid bones can be found on joints throughout the human body, including: In the knee—the patella (within the quadriceps tendon). This is the largest sesamoid bone. [4] In the hand—two sesamoid bones are commonly found in the distal portions of the first metacarpal bone (within the tendons of adductor pollicis and flexor pollicis brevis).
The sesamoid bones act as a fulcrum for the flexor tendons, the tendons which bend the big toe downward. Symptoms include inflammation and pain. Sometimes a sesamoid bone is fractured. This can be difficult to pick up on X-ray, so a bone scan or MRI is a better alternative. [1]
The pisiform is a sesamoid bone, with no covering membrane of periosteum. It is the last carpal bone to ossify. The pisiform bone is a small bone found in the proximal row of the wrist . It is situated where the ulna joins the wrist, within the tendon of the flexor carpi ulnaris muscle. [1]: 199, 205
Type 1: An os tibiale externum is a 2–3 mm sesamoid bone in the distal posterior tibialis tendon. Usually asymptomatic. Type 2: Triangular or heart-shaped ossicle measuring up to 12 mm, which represents a secondary ossification center connected to the navicular tuberosity by a 1–2 mm layer of fibrocartilage or hyaline cartilage.
A sesamoid bone is a small, round bone that, as the name suggests, is shaped like a sesame seed. These bones form in tendons (the sheaths of tissue that connect bones to muscles) where a great deal of pressure is generated in a joint. The sesamoid bones protect tendons by helping them overcome compressive forces.
The horse has a sesamoid bone called the navicular bone, located within the hoof, that lies on the palmar aspect of the coffin joint between the second phalanx and third phalanx (coffin bone). The navicular bone in the horse is supported by the distal sesamoidean impar ligament and two collateral sesamoidean ligaments.
Fractures are described by their location and shape, and several classification systems exist, depending on the location of the fracture. A common long bone fracture in children is a Salter–Harris fracture. [80] When fractures are managed, pain relief is often given, and the fractured area is often immobilised. This is to promote bone healing.
The abductor hallucis stretches along the medial edge of the foot, from the calcaneus to the base of the first phalanx of the first digit and the medial sesamoid bone. It is an abductor and a weak flexor, and also helps maintain the arch of the foot.