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Management of Bunionette Deformity
Glenn Guangyu Shi1, Ammar Humayun, Joseph L Whalen
1From the Department of Orthopedic Surgery, Mayo Clinic Florida, Jacksonville, FL (Dr. Shi, Dr. Humayun, and Dr. Whalen), and Department of Orthopedic Surgery, Mayo Clinic Minnesota, Rochester, MN (Dr. Kitaoka).
The Journal of the American Academy of Orthopaedic Surgeons
|August 22, 2018
Summary
Bunionette deformity, or tailor's bunion, involves a bony bump on the outside of the foot. Treatment often begins with conservative methods, with surgery reserved for severe cases.
Area of Science:
- Orthopedics
- Podiatry
- Skeletal Anatomy
Background:
- Bunionette deformity, also known as tailor's bunion, presents as a lateral forefoot protuberance on the fifth metatarsal head.
- It arises from a complex interaction of fifth metatarsal bone structure and forefoot soft tissue imbalances.
- Friction from the prominence and footwear can lead to painful symptoms like keratosis, inflammation, and ulceration.
Purpose of the Study:
- To review the etiology, clinical presentation, and management strategies for bunionette deformity.
- To differentiate bunionette deformity from hallux valgus.
- To outline the progression from conservative to surgical interventions.
Main Methods:
- Literature review of anatomical and clinical studies on bunionette deformity.
- Analysis of biomechanical factors contributing to the condition.
- Evaluation of treatment outcomes for nonsurgical and surgical approaches.
Main Results:
- Bunionette deformity is multifactorial, involving bony morphology and soft tissue factors.
- Conservative management, including footwear modification and padding, is typically effective for symptomatic relief.
- Surgical intervention is indicated for persistent symptoms unresponsive to nonoperative care, tailored to the specific bony deformity.
Conclusions:
- Bunionette deformity requires a comprehensive understanding of its anatomical basis for effective management.
- Nonsurgical treatments are the primary approach for symptomatic relief.
- Surgical options provide definitive correction for refractory cases based on deformity type.
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