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Phone: 540-904-1458
Shenandoah Podiatry
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Toll Free: 855-997-2367
Roanoke: 540-904-1458

Tailor’s Bunion or Bunionette

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Tailor’s bunion is as an acquired lesion that causes chronic pain and swelling over the outer aspect of the distal foot. It is also known as a bunionette and is characterized by a painful prominence on the outer aspect of the foot in the area of the fifth metatarsal head.


These types of lesions were often seen on tailors with a cross-legged sitting posture. The posture resulted in pressure being placed on the lateral side of the foot.

Causes

Extrinsic causes – Commonly chronic

  • Tailors’ posture
  • Footwear

Intrinsic causes

Structural Abnormalities

  • Lateral bowing of the metatarsal shaft
  • Enlargement of the metatarsal head
  • Congenital splayfoot

Presentation

  • Symptoms – Painful keratoses on the outer, bottom, or top aspect of the metatarsal head.

Imaging Studies

  • Weight-bearing x rays of both feet
  • Vascular studies are important with patients who have questionable circulation

Treatment

Conservative

  • Padding
  • Shoe modification
  • Orthotic devices
  • Anti-inflammatory medications
  • Corticosteroid injections

Surgical Treatment

  • Can be treated with simple removal of osseous bump when there is no evidence of anglular deformity
  • With an angular deformity or a deviation in the bone is present an osteotomy (cut in the bone) is made and held together with a screw. The level of bone cut varies with the level of the deformity.

Possible Complications

  • Malunion- Incomplete union or union in a faulty position
  • Nonunion- A nonunion occurs when a broken bone does not heal
  • Nerve Injury
  • Joint pain and stiffness
  • Symptomatic hardware
  • Infection
  • Recurrence
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