Bunionette

The bunionette, or tailor’s bunion, is a painful osseous prominence on the lateral aspect of the head of the fifth metatarsal. This prominence occurs in many individuals but seldom causes symptoms.Orthotic devices may be useful if a symptomatic bunionette results from excessive pronation of the subt...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 2001-07, Vol.83 (7), p.1076-1082
Main Authors: Koti, Manjunath, Maffulli, Nicola
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Diseases of the osteoarticular system
Female
Finger Joint - diagnostic imaging
Finger Joint - physiopathology
Hand Deformities, Acquired - complications
Hand Deformities, Acquired - diagnosis
Hand Deformities, Acquired - physiopathology
Hand Deformities, Acquired - therapy
Humans
Joint Instability - diagnostic imaging
Joint Instability - etiology
Male
Medical sciences
Metatarsophalangeal Joint - diagnostic imaging
Metatarsophalangeal Joint - physiopathology
Miscellaneous. Osteoarticular involvement in other diseases
Orthotic Devices
Osteotomy - methods
Prognosis
Pronation
Radiography
Range of Motion, Articular
Treatment Outcome
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Summary:The bunionette, or tailor’s bunion, is a painful osseous prominence on the lateral aspect of the head of the fifth metatarsal. This prominence occurs in many individuals but seldom causes symptoms.Orthotic devices may be useful if a symptomatic bunionette results from excessive pronation of the subtalar joint.Operative management to decrease the width of the foot and the osseous prominence is indicated when nonoperative treatment can no longer control symptoms and when the patient has special demands, particularly in sports.A proximal osteotomy is able to correct most deformities. A distal osteotomy is recommended if medial translation of the head for one-third of the width of the metatarsal shaft produces a normal fourth-fifth intermetatarsal angle.
ISSN:0021-9355
1535-1386
DOI:10.2106/00004623-200107000-00016