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J Am Acad Orthop Surg, Vol 15, No 5, May 2007, 300-307.
© 2007 the American Academy of Orthopaedic Surgeons
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Bunionette Deformity

Bruce E. Cohen, MD and Christopher W. Nicholson, MD

Dr. Cohen is Orthopaedic Surgeon, O.L. Miller Foot and Ankle Institute, OrthoCarolina, Charlotte, NC. Dr. Nicholson is Fellow, O.L. Miller Foot and Ankle Institute, OrthoCarolina.

None of the following authors or the department with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Cohen and Dr. Nicholson.

Reprint requests: Dr. Nicholson, O.L. Miller Foot and Ankle Institute, OrthoCarolina, 2001 Vail Avenue, Charlotte, NC 28207.

The bunionette, or tailor’s bunion, is a lateral prominence of the fifth metatarsal head. Most commonly, bunionettes are the result of a widened 4-5 intermetatarsal angle with associated varus of the metatarsophalangeal joint. When symptomatic, these deformities often respond to nonsurgical treatment methods, such as wider shoes and padding techniques. When these methods are unsuccessful, surgical treatment is based on preoperative radiographs and associated lesions, such as hyperkeratoses. In rare situations, a simple lateral eminence resection is appropriate; however, the risk of recurrence or overresection is high with this technique. Patients with a lateral bow to the fifth metatarsal are treated with a distal chevron-type osteotomy. A widened 4-5 intermetatarsal angle often requires a diaphyseal osteotomy for correction.






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Copyright © 2007 by the American Academy of Orthopaedic Surgeons.