The medial sesamoid ligament connects the tibial (medial) sesamoid to the medial base of the hallux proximal phalanx and the medial MTP joint capsule, maintaining sesamoid position.
Provides primary medial constraint for the tibial sesamoid and maintains sesamoid position during MTP movement.
Tibial sesamoid avulsion injury disrupts this ligament, producing sesamoid migration and forefoot pain. Assessment of sesamoid displacement on X-ray guides conservative versus surgical management.
Medial sesamoid migration after ligament disruption in turf toe producing forefoot pain, managed by immobilisation or sesamoid repair.
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