Sesamoid bones are partially or totally embedded in the substance of a corresponding tendon. Anatomically they are part of a gliding mechanism that reduces friction and protects the tendon. The sesamoid complex consists of seven muscles, eight ligaments, and two sesamoid bones and it´s pathological conditions include traumatic, degenerative, inflammatory, infectious, and ischemic processes. Most painful conditions involving the hallux sesamoid bones are, however, related to acute trauma or

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... ic stress. Medial tibial sesamoid bone fractures are rare and are often missed as they are treated as soft tissue injuries [4] . Bilateral fractures are extremely rare.