Painful sesamoid of the great toe

Figure 5 Symptomatic non-union may be treated with percutaneous screw fixation, open fixation or open bone grafting. A: X-ray to show a symptomatic non-union of a sesamoid fracture; B: Magnetic resonance imaging scan demonstrating fracture of the sesamoid; C: Post-operative X-ray following fixation of a non-union sesamoid fracture.