Bunionette Deformity: Etiology, Nonsurgical Management, and Lateral Exostectomy

Bertrand, Todd; Parekh, Selene G.

doi:10.1016/j.fcl.2011.08.003

Cited by 14 publications

(10 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…8 A fourth type was described by Fallat et al, 11 which is a combination of types 1 to 3 and normally occurs in patients with rheumatoid arthritis. 2,5,10,17 Radiographic evaluation of a patient with a bunionette is necessary to define the type of deformity and quantify the severity, which will then guide management. The following measurements need to be recorded 2,20 : metatarsal head diameter (normal is less than 13 mm 2 ), fourth-fifth intermetatarsal angle (IMA) (normal is less than 8 degrees [average 4.5 degrees]).…”

Section: Introductionmentioning

confidence: 99%

“…2,5,10,17 Radiographic evaluation of a patient with a bunionette is necessary to define the type of deformity and quantify the severity, which will then guide management. The following measurements need to be recorded 2,20 : metatarsal head diameter (normal is less than 13 mm 2 ), fourth-fifth intermetatarsal angle (IMA) (normal is less than 8 degrees [average 4.5 degrees]). 22 More than 30 different osteotomies, both open and minimally invasive, have been described for the operative treatment of bunionettes, when conservative treatment fails.…”

Section: Introductionmentioning

confidence: 99%

“…8 A fourth type was described by Fallat et al, 11 which is a combination of types 1 to 3 and normally occurs in patients with rheumatoid arthritis. 2,5,10,17…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of 2 Oblique Fifth Metatarsal Osteotomies for the Management of a Bunionette

Paterson

Saragas

Ferrao

2021

Foot & Ankle Orthopaedics

View full text Add to dashboard Cite

Background: A bunionette is a painful prominence of the fifth metatarsal head. This study aimed to compare the clinical outcome of 2 corrective osteotomies, namely, the Mau-type and Ludloff-type osteotomies. We report results with regard to correction, healing, complications, and patient-reported outcomes. Methods: Thirty-two patients who underwent bunionette corrective surgery from March 2011 to May 2017 were included in the study. All patients had pre- and postoperative radiographs. The pre- and postoperative fourth-fifth intermetatarsal angles (IMAs) and postoperative fifth metatarsal bowing angle were measured. Radiographic union was assessed at 12 weeks. All patients completed the Self-Reported Foot and Ankle Score (SEFAS) questionnaire to assess clinical outcome. Thirty-two patients (43 feet) were available for follow-up and completed the SEFAS score. Twenty-two Mau-type and 21 Ludloff-type osteotomies were performed. Results: The mean pre- and postoperative IMA for Mau was 10.5 and 4.3 degrees, respectively, and for the Ludloff was 10.2 and 4 degrees, respectively, with no statistically significant difference between the 2 groups. The Mau caused more bowing with a mean of 9.8 degrees as compared to a mean of 3.5 degrees with the Ludloff. No patients in the Mau group reported clinical problems related to the increased bowing. All osteotomies united. The Mau cohort had a mean SEFAS score of 45 and the Ludloff cohort a mean of 46. No feet had fair or poor outcome scores. Conclusion: Patient satisfaction after bunionette correction with an oblique shaft rotational osteotomy was good. Orientation of the osteotomy did not affect outcomes. Postoperative bowing of the fifth metatarsal was greater with the Mau-type osteotomy. Postoperative fifth metatarsal bowing had no negative clinical effects. The trend in our unit has been a preference toward the Mau-type osteotomy as it is perceived to be more stable. Level of Evidence: Level III, retrospective comparative series.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of 2 Oblique Fifth Metatarsal Osteotomies for the Management of a Bunionette

Paterson

Saragas

Ferrao

2021

Foot & Ankle Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Tailors bunion is used to describe a widening of the foot on the outside by prominence of the fifth metatarsal head and usually also of the soft tissues above [1]- [3]. Patients sometimes experience shoe pressure problems and occasional pain caused by bursitis or activated osteoarthritis of the MPJ V.…”

Section: Introductionmentioning

confidence: 99%

“…Other causes are a hindfoot varus with or without pes adductus, the plantarflexion of the V. metatarsal, the outwardly curved V. metatarsal, the splayed V. metatarsal with and without ligamentous laxity. Increasingly, exterior factors such as shortened calf muscles or bad, and very tight footwear, as well as very high heels have an influence [1] [2] [4].…”

Section: Introductionmentioning

confidence: 99%

A New Intramedulary Locking Plate for the Osteotomy of the V. Metatarsal in the Correction of the Tailors Bunion. Midterm Results of 21 Patients

Vitek¹,

Kugler²,

Fink³

et al. 2016

OJO

View full text Add to dashboard Cite

Background: Since we are very successful in the operation of hallux valgus using a transverse subcapital osteotomy fixated with an intramedullary angle-stable locking plate, and a tailors bunion is understood as a reversed hallux valgus, we have applied the operation also for such indication. Method: The osteotomy was carried out at a straight V. metatarsal subcapitally, and in case of an outwardly curved V. metatarsal at the bending location. The intramedullary plates are available in different designs and the plate and screws disappear completely in the bone, so the soft tissues are not disturbed. The head of the plate is either straight or curved in order to shift the distal fragment sufficiently. Results: 26 patients were operated within a period of 5 years (2008-2012). 21 patients were followed up after an average of 34.4 months. The IM angle IV/V could be improved by an average of 11.76 to an average of 4.10. This is a highliy significant pre-to postoperative difference of 7.66 (t = 15.07, p < 0.001). The AOFAS score was improved by an average of 42.24 points from 55.76 points preoperatively to 98.00 points postoperative. There was no pseudoarthrosis and no wound healing impairment. All patients were either satisfied or very satisfied with the surgery. Conclusion: This method does not have the disadvantages of the other common operations of the Tailors bunion and is applied now as a standard method in this deformity.

show abstract