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J Orthop Sports Phys Ther.: Management of a delayed-union sesamoid fracture in a dancer.

Misdiagnosed or undertreated sesamoid bone pathology in dancers may result in prolonged pain, disability, and career limitation. A thorough understanding of sesamoid disorders and appropriate treatment facilitates timely recovery. The potential loss of hallux plantar flexion strength consequent to sesamoidectomy is a major consideration for dancers. In this case study an 18-year-old dance student sustained a delayed-union fracture of her lateral (fibular) sesamoid. Treatment included an inductive coupling external bone stimulator with pulsed electromagnetic field, activity and weight-bearing restrictions, protective padding, strengthening, functional retraining, and progressive return to dance. Following use of the external bone stimulator for 12 months the dancer successfully returned to her previous level of dancing. Repeated SF 36 and Dance Functional Outcome Systems Scores confirmed this improvement.

2007 Sept;37(9):529-40.

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Author:Bronner, S.; Novella, T.; Becica, L.
Publication:Journal of Dance Medicine & Science
Article Type:Reprint
Date:Jan 1, 2009
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