How should the sesamoid bones appear on a tangential projection of the sesamoids?

In a tangential projection of the sesamoid bones, they should appear clearly outlined and free of superimposition. This clarity is crucial for proper visualization and assessment, as sesamoid bones, particularly the two located beneath the first metatarsophalangeal joint, can often be difficult to visualize due to their small size and position. The tangential projection helps to provide a view that minimizes overlapping structures, allowing for an unobstructed view of the sesamoids.

When the sesamoids are well positioned in this projection, they should stand out against the background of the surrounding tissues and bones, allowing for accurate identification and diagnosis of any potential issues, such as fractures or degenerative changes. This makes the clear outlining of the sesamoids an essential element in evaluating their condition and function within the foot.