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Forefoot disorders
Published in Maneesh Bhatia, Essentials of Foot and Ankle Surgery, 2021
Most often presents bilaterally in females, adolescents and young adults. The pain is in the lateral border of the foot, especially with enclosed footwear. Bunionettes are commonly associated with hallux valgus/rigidus, hammer toes, pes planus and valgus heel (18). Callosities over the lateral and plantar aspect of 5th metatarsal head are frequently present.
The ankle and foot
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
An irritating or painful bunionette may form over an abnormally prominent fifth metatarsal head. If the shoe cannot be adjusted to fit the bump, the bony prominence can be trimmed, taking care not to sever the tendon of the fifth toe abductor. If the metatarsal shaft is bowed laterally (as is often the case), it can be straightened by performing either a distal osteotomy or a varus correction at the base of the metatarsal.
Foot and ankle disorders
Published in Maneesh Bhatia, Tim Jennings, An Orthopaedics Guide for Today's GP, 2017
A bunionette deformity is the rough equivalent of a hallux valgus deformity of the fifth toe. The prominence of the lateral aspect of the fifth metatarsal head and/or a medial drift of the fifth toe proximal phalanx at the MTP joint results in a symptomatic protrusion on the lateral aspect of the foot.
Management of acute lesser toe pain
Published in Postgraduate Medicine, 2021
Jessyca Ray, Nicholas A. Andrews, Aseel Dib, Whitt M. Harrelson, Ankit Khurana, Maninder Shah Singh, Ashish Shah
A bunionette, also known as a tailor’s bunion, is defined as an abnormal fifth metatarsal head that leads to a bony prominence on the lateral aspect of the foot. A bunionette deformity is typically discovered incidentally, but some can become symptomatic. If symptomatic, patients usually present with pressure, pain, and irritation over the fifth metatarsal head due to constricting footwear. Swelling of the soft tissues causes the majority of the pain, while calluses may form due to chronic irritation [31,32].