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In chronic sesamoiditis, constant lameness is the one salient feature which marks the condition. While it is possible for one sesamoid bone to become involved without its fellow being affected, this is not usual. Considerable organization of tissue surrounding the joint is present and no particular evidence of supersensitiveness exists.
In such cases, by immobilizing the affected parts as in fracture, and confining the subject in a sling for about sixty days, partial recovery may occur in some instances. Experience has shown that where luxation with detachment of a collateral ligament occurs, recovery is slow and incomplete there always results considerable exostosis at the site of injury. Sesamoiditis. Etiology and Occurrence.
No special pathological condition characterizes sesamoiditis but this condition causes incurable lameness when the sesamoid bones are much inflamed. Symptomatology. In acute inflammation, there exist all the symptoms which portray any arthritic inflammation of like character.
Old chronic cases, and particularly those where there are considerable induration and fibrous organization of tissue surrounding the joint, are not to be benefited by treatment. The chief consideration in handling sesamoiditis is checking inflammation as early as possible and preventing, if this can be done, the erosion of articular surfaces.
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