Ortho Dx: A dancer with persistent sesamoiditis

A competitive dancer, aged 18 years, presents with several months of pain in her left foot. She has been seen in the past by her primary care provider and a podiatrist, who have treated her for sesamoiditis. She has tried a period of non-weight-bearing activity, nonsteroidal anti-inflammatory drugs, custom orthotics, and physical therapy, but the pain persists when ...