A Clinical Atlas. Variations of the Bones of the Hands And Feet

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They are, moreoA'er, the only ones present in 40.7 per cent. The most common combination is when there is also the distal sesamoid of the great toe. This occurs in 48 per cent. No other combination is worthy of notice. All this is according to Pfitzner.
Subdivision of the internal sesamoid of the great toe is not so verv uncommon, the division being by a cross line into a larger proximal and a smaller distal part.
I have seen this several times both in the bones and in X-rays, and haA'e seen on
...ce the external divided in the same manner with the suspicion of a longi- tudinal division of the larger piece. Stieda' found two sesamoid bones of the plantar aspect of the interphalangeal joint of the great toe and at the same time a subdivided sesamoid at the metacarpo-phalangeal joint. The man had suffered from a previous injury to the ball of the foot. He saw twice a tibial sesamoid of the fourth toe with the X-raw FUSION OF BONES AND VARIATIONS OF RELATIONS.
Fusion of astragalus and os calcis.


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