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Bunionette Deformity (Tailor's Bunion)

What is Bunionette Deformity (Tailor's Bunion)?

Bunionette Deformity Definition

Bunionette deformity, also called Tailors Bunion, occurs on the outside part of the foot. The fifth toe (Pinky) joint becomes enlarged and painful. Causes are either an enlargement of the toe (metatarsal head) and or a change in the angle of the joint bones.

Bunionette Deformity Symptoms and Anatomy

Burning and aching pain occurs at the joint from inflammation and swelling. Bunionette deformities are aggravated by tight shoes, high heels, and poorly fitted shoes. A prominence or a "bump" will usually be present on the outside of the foot. Symptoms are usually improved by removal of the shoes.

Bunionette Deformity Treatment Options

Initial therapy is usually non-surgical;

  • Changes to your shoe wear for a wider shoe with a lower heel, proper fitting athletic shoes.
  • Padding to the outside part of the foot may help.
  • Corticosteroid injections will help with the symptoms but the deformity will still be present.

Bunionette Deformity Surgery

When non-surgical options have failed to relieve the symptoms then surgery may be needed.

  • Removing the prominence (bump) in those small deformities may be enough to relieve the symptoms.
  • Larger deformities will usually require an Osteotomy (break the bone) to correct the angular deformity of the joint. Minimally invasive surgery has been used successfully to correct these deformities.

Recovery from Surgery:

  • Surgery is usually performed as an outpatient (You go home the same day as the procedure).
  • Most patients can put weight on the foot with supportive shoe or boot immediately.
  • Full recovery usually takes between 6-12 weeks.

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