Sesamoid bones are embedded within tendons, the largest of which is the patella. There are many other sesamoids in the body particularly in tendons of the hands and feet, and most frequently in flexor tendons of the thumb and big toe.
Degenerative and inflammatory changes of, as well as mechanical stresses on, the accessory bones and sesamoids can cause pain, which can be treated with physiotherapy and targeted steroid injections, but in some severe cases it may be necessary to surgically remove the bone.