ROUNDS RESPONSE.
Rounds is your vehicle for sharing your orthopaedic skills and experience. Your response to Rounds will be published in a future issue of Body Cast. We invite you to suggest questions for this column. Please address all submissions to:
The Editor,
Body Cast,
18 Wynford Drive, Suite 715A,
North York, Ontario,
M3C 3S2.

This Issue's Question:

What is a Hill Sachs Lesion? (Question submitted by Edgar Dumont)

In the last issue of Body Cast, Rounds asked:
What are the three important functions of the hallucal sesamoids of the great toe?
The following answers were received:

From Janet Cannon and Mike Walker:
The three hallucal sesamoids of the great toe provide medial/ lateral stability of the first MTP. Two are almost always present on the plantar aspect of the MTPl, and one may be present on the plantar aspect of IPl. The three important functions of the hallucal sesamoids of the great toe are 1) weight bearing, 2) reduces friction, and 3) protects tendons.

From Brad DeWagner:
Three important functions of the hallucal sesamoids of the great toe are: elevation of the metatarsal head, increase the
mechanical advantage of the ft.exor hallucus brevis muscle of the great toe and assist with weight bearing under first MT.

From Cynthia Brown:
Three functions of the hallucal sesamoids of the great toe: protect tendons, absorb weight-bearing pressure, and reduce friction.

Answers were also received from: R. Aceron, C. Brooks, T. Broughton, M. Buchner, M. Christenson, A. Carlos, I. Carragher,
E. Clancey,
I. Delsey, D. Derksen, B. Doucet, D. Edwards, N. Ellsworth, W. Fast, H. Fehr, I. Fluerar, M. Florian, C. Gaudon,
D. Gauthier, A. Gibbs,
S. Groulx, E. Hewer, S. Hutchinson, R. IP Chun, S. Jankowski, M. Janse van Rensburg, S. Ko,
B. Lavallee, B. Letourneau, N. Lockyer,
C. Longphee, L. Lough, M. Monteleone, E. Oborowsky, P. Power,
L. MacDonald,
G. Marshall, B. Matheson, J. Maulucci, A. Minoo, J. Movasseli, 1. Nijmeh, T. Ogden, R. Pagay, J.P. Piche,
J. Pike, B. Rawlings, R. Richie, V Robichaud, E. Seguin, B. Sheppard,
C. Skrabec, V Stockdale, M. Szut; A. Tarambikos,
S. Tilley, T. Tsangaris, S. Vienneau, B. Walker, A. Wentzell, R. Wong, . Yao, and T. Yorke.