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Objective: The present study was conducted to evaluate distribution, prevalence, number, and the commonest site of the sesamoid bones of the foot in adult residents of Rawalpindi/Islamabad. Study Design: Descriptive Observational Cross-sectional Study. Material and Methods: A total of hundred patients were selected from the outpatient department of Radiology Holy Family Hospital Rawalpindi and SON-X Laboratory, Saidpur Road Rawalpindi. Fifty were male and fifty were females. Anteroposterior and lateral view of foot radiographs were taken and studied for the prevalence, number, and relationship of sesamoid bones to metatarsophalangeal joints in feet. Results: 2 to 4 sesamoid bones were observed in a single foot. The total number in both feet ranged from 4 to 8 bones. Radiographs of male patients showed an increased number of sesamoid bones as compared to female patients. 34 out of fifty male patients (68%) had 4 bones. 14 (28%) had 5 bones. 4 (8 %) had 6 bones 7 bones were observed in1 (2%) subject, 1(2%) male subject showed 8 sesamoid bones. However, none of the females had more than six bones. 44 (88%) had 4 sesamoid bones, 3 (6%) of the female had 5 and 3(6%) had 6 sesamoid bones. Conclusion: This is the first study to report the prevalence of sesamoid bones of the foot in adult residents of Rawalpindi and Islamabad. The results showed that sesamoid bones are more prevalent at the first metatarsophalangeal joint than other joints of the foot, moreover an increased number of sesamoids are observed in males. This study provides data that could assist orthopedic surgeons, radiologists, and neuro physicians in the diagnosis and treatment of sesamoid bone disorders, which are common in patients with discomfort and pain in

A Radiographic Study on Prevalence of Sesamoid Bones of Feet in residents of Rawalpindi/Islamabad