Claustre J, Simon L
Rev Rhum Mal Osteoartic. 1978 Jul-Sep;45(7-9):479-86.
The sesamoid region constitutes an "anatomo-clinical entity" because the small sesamoid bones and the tendino-sero-cutaneous formations which surround them are in close association. Subjected to various microtraumatisms, (professional, sports or static), it expresses its pathology through a painful sesamoid point, a localized tumefaction that is more or less ifnlammatory (sometimes with a pseudo-gout aspect) or a painful corn that disturbs walking. The observation of radiologic alterations of the sesamoid bones results in the discussion of osteonecrosis (Renander's disease) or a fracture. This region may also be the site of a specific micro-cristalline inflammation (with deposit of various crystals) or a rheumatic (mainly rheumatoid, sometimes psioriatic or spondylarthritic) responsible for sesamoid alterations of variable intensity. I can also be involved in an infectious process that is either acute or chronic (fistulization). The sesamoid region has a rich pathology, that is often poorly understood since it is inadequately investigated.
籽骨区域构成一个“解剖 - 临床实体”，因为小籽骨及其周围的腱 - 浆膜 - 皮肤结构紧密相连。受到各种微创伤（职业性、运动性或静态性）后，它会通过疼痛的籽骨点、或多或少有炎症的局限性肿胀（有时呈假痛风表现）或干扰行走的疼痛鸡眼来表现其病理状态。籽骨的放射学改变的观察引发了关于骨坏死（雷南德氏病）或骨折的讨论。该区域也可能是特定微晶体炎症（有各种晶体沉积）或风湿性疾病（主要是类风湿性，有时是银屑病性或脊椎关节病性）的发病部位，这些疾病会导致不同程度的籽骨改变。它还可能参与急性或慢性感染过程（形成瘘管）。籽骨区域有丰富的病理学表现，但由于研究不足，人们对此往往了解甚少。
