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Failure of this procedure leads to bipartite sesamoid bones 4. The most frequent mechanism of injury is a violent hyperextension of the pollex 2, 6, 7. A fracture may be caused also by a violent abduction of the thumb 6 and less frequently from direct trauma 3. In our case the injury was the result of a violent abduction of the pollex.
Our case represents a fracture of the ulnar side of the sesamoid bone of the thumb. The most frequent mechanism of this injury is a violent hyperextension of the thumb. A fracture can be caused also by a violent abduction of the thumb, and less frequently from direct trauma.
2 Οκτ 2014 · Anteroposterior and lateral radiographs may help in identifying fractures, but an oblique view of the thumb is best for diagnosing a sesamoid fracture. 4,11 Treatment of fracture of the sesamoid bone of the thumb is usually 2–4 weeks of immobilization with the MCP joint in slight flexion. 4
Recovery from sesamoiditis or a sesamoid fracture depends on the severity of the problem as well as the symptoms. Recovery can take a long time, with multiple weeks or months of wearing a cast and not putting any weight on the foot.
Six fractures were treated with splint or cast immobilization for 2 to 3 weeks, and two were taped. Clinical followup of the seven patients with isolated sesamoid fracture at 6 to 8 weeks revealed pain-free normal function.
Two additional closed fractures of the thumb sesamoid were treated by splinting the metacarpophalangeal joint in comfortable flexion for 2 to 3 weeks. Normal hand function was restored in all the three patients.
You may need surgery to treat the thumb fracture, depending on the location of the break, the alignment of the broken bone, and the amount of movement between the fragments. Your surgeon may use one of several operative fixation techniques to realign the bone fragments.