calcium hydroxyapatite crystal deposition disease ( RID3594 )
The DPM referred him with Hallux IPJ sesamoid and bursitis. There is a liquefactive calcific deposit plantar medial to the IPJ capsule with milk of calcium fluid fluid level. The adjacent capsule is frayed and bright; this presumably arose from the capsule. I had her send me screenshots of his XRs, you can see why she mistook it for a sesamoid, but sesamoids should not grow. There is a normal sesamoid embedded in the IPJ plantar plate in slide 3. I have offered US guided aspiration. Check out the old article on pseudopodgra. [ Article ]

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