“…3 When a normal medial sesamoid is not radiologically identified, it can be difficult to assess the reduction of the sesamoid apparatus using preoperative radiography and intraoperative fluoroscopy. 4 We report a case of severe hallux valgus deformities with coalitions of the hallux sesamoids. Although the coalition itself was asymptomatic in this case, severe hallux valgus deformity did need to be surgically treated.…”