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Related Experiment Videos

Bunionette deformity.

Bruce E Cohen1, Christopher W Nicholson

  • 1O.L. Miller Foot and Ankle Institute, OrthoCarolina, Charlotte, NC 28207, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|May 5, 2007
PubMed
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Bunionettes (tailor's bunions) are lateral foot deformities. Surgical correction depends on deformity type, with osteotomies often preferred over simple resection to minimize recurrence.

Area of Science:

  • Podiatry
  • Orthopedic Surgery
  • Foot and Ankle Deformities

Background:

  • A bunionette, or tailor's bunion, presents as a lateral prominence of the fifth metatarsal head.
  • Commonly caused by an increased 4-5 intermetatarsal angle and metatarsophalangeal joint varus.
  • Nonsurgical treatments like wider shoes and padding are often effective for symptomatic cases.

Purpose of the Study:

  • To outline the diagnostic considerations and surgical management strategies for bunionette deformities.
  • To differentiate surgical approaches based on radiographic findings and associated pathologies.

Main Methods:

  • Evaluation of preoperative radiographs to assess the 4-5 intermetatarsal angle and fifth metatarsal morphology.
  • Surgical techniques discussed include lateral eminence resection, distal chevron osteotomy, and diaphyseal osteotomy.

Related Experiment Videos

  • Treatment selection is guided by the specific deformity and presence of hyperkeratoses.

    • Main Results:

    • Lateral eminence resection carries a high risk of recurrence or overresection.
    • Distal chevron osteotomy is indicated for a laterally bowed fifth metatarsal.
    • Diaphyseal osteotomy is often necessary for significant widening of the 4-5 intermetatarsal angle.

    Conclusions:

    • Surgical treatment for bunionettes requires careful preoperative assessment.
    • Osteotomy techniques offer more reliable correction compared to simple resection for specific bunionette types.
    • Tailored surgical approaches improve outcomes and reduce the likelihood of revision surgery.