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Excision of the medial sesamoid of the great toe is indicated for which of the following presentations or procedures?
Coupled with Lapidus procedure for hallux valgus
Recalcitrant medial sesamoid stress fracture with fragmentation
Acute medial sesamoid fracture
Coupled with first metatarsophalangeal joint arthrodesis for hallux rigidus
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A 32-year-old female avid triathlete complains of left plantar great toe pain for the past 4 months. She has failed conservative management. Her radiographs and bone scan are shown in Figures A and B. Which of the following surgical options would most reliably return her to sporting activities in a timely fashion?
1st metatarsophalangeal (MTP) plantar plate reconstruction
1st metatarsophalangeal (MTP) arthroscopy and debridement
Open reduction internal fixation of sesamoid with autogenous calcaneus bone graft
Distal 1st metatarsal chevron osteotomy with proximal phalanx Akin procedure
What is the most common surgical complication of resection of both the medial (tibial) and lateral (fibular) hallucal sesamoids on the same foot for intractable keratosis?
Hallux varus deformity
Toe cock-up deformity
Recurrence of keratosis
Hallux valgus deformity