The term mesentery is used for the small intestine; and mesenteric organ is sometimes used to refer to the rest of the mesentery that incorporates the mesocolon, mesoappendix, mesosigmoid and mesorectum. It has been proposed for reclassification as an organ due to research at the University of Limerick in the 2010s.
Tibial Tubercle Avulsion Fracture. Tibial tubercle avulsion fractures occur when the tendon between the kneecap and shinbone (patellar tendon) causes a complete or incomplete break of the shinbone just below the knee joint (tibial tubercle). The tibial tubercle is where the tendon of the thigh muscle (quadriceps) attaches.
The clinical scenario is consistent with a tibial sesamoid fracture recalcitrant to conservative management. Tibial sesamoidectomy would be the most appropriate and reliable treatment to return the patient back to sports. Sesamoid fractures can occur in the foot as a result of forced dorsiflexion of first the first MTP.They can be distinguished from a bipartate sesamoid by increased activity on a bone scan. Lee et al. evaluated hallux alignment and functional outcome after isolated tibial sesamoidectomy.xcision of the tibial sesamoid alone can lead to hallux valgus. Excision of the fibular sesamoid alone can lead to hallux varus. The referenced article by Richardson is an excellent review of sesamoid pain and reviews the causes, diagnosis and treatment of this pathological condition.