Fifth digit sesamoid fracture with tenosynovitis

of the sesamoid articular surface and synovitis at its condylar articulation. The bone was removed. The IP joint was normal. Pathologic examination of the specimen was positive only for degenerative changes. The patient had immediate postoperative relief of pain and was able to resume all activities she had performed before the onset of symptoms. This symptomfree state has persisted for 18 months.