Sesamoid bones are small, rounded bones embedded in tendons where they pass over joints. They serve to reinforce tendons and protect them from stress and wear. Examples include the patella, which protects the quadriceps tendon at the knee, and sesamoids in the hands and feet. Sesamoid bones lack periosteum, do not form a Haversian system, and ossify after birth. Their functions are to resist pressure on tendons, alter the direction of muscle pull, reduce friction, and maintain local circulation. Conditions involving sesamoid bones can include sesamoiditis, fracture, and Fabella syndrome.