Left forefoot pain under her first and second metatarsal heads. Fracture? There is a bipartite lateral sesamoid bone underneath the first metatarsal head. This is usually a normal variant; however, if there is strong clinical concern for fracture, then MRI may be considered to assess for edema within the bone. The remainder of the foot is unremarkable.
Bipartite lateral sesamoid bone beneath the first metatarsal head is typically a normal variant. However, if there is strong clinical concern for fracture, MRI may be considered.