Bunionette: Causes, Diagnosis and Treatment

Bunionette or tailors bunion is characterized by the presence of a bony prominence on the outer side of the foot.

It is common in people who sit cross legged on the floor for long hours. Hence the name tailors bunion.

It is also seen in combination with hallux valgus in a splay foot.

Before reading on it would be good to first understand the relevant anatomy of the foot (skip this if you already done so).

Bony abnormalities seen in this condition include.

  • a large head of the fifth metatarsal bone
  • and lateral curvature of the shaft

Symptoms include

  • presence of the obvious deformity on the outer aspect of the foot
  • difficulty in sitting cross legged
  • difficulty in wearing shoes
  • callosity formation over the bony prominence
  • adventitious bursitis over the prominence

Treatment can be surgical and non-surgical

Non-surgical treatment includes

  • using a pad over the deformity
  • wearing a shoe with a wide toe box
  • anti-inflammatory medication
  • steroid injection

If there is no relief from pain after a reasonable trial of non-surgical treatment then surgery is done.

In surgery

  • part of the prominent head of 5th metatarsal is removed
  • or the wrong alignment of the 5th metatarsal is corrected

Frequently Asked Questions

What are the chances that I may require operative treatment?

A wide toe box shoe provides relief in most patients. So the chances of you requiring surgery are slim if you modify your foot wear.

Will I be able to wear fancy shoes after operative treatment?

If your toes have a tendency to splay out then there is no guarantee that you will be able to wear narrow fancy shoes.

I hope the information provided was helpful. If you have any query you can ask me at the contact me page.

This page was last updated on 23th June 2009.


Other causes of foot pain...

Hallux Rigidus

Mallet Toe

Hammer Toe

Bunion

Flat Foot

Haglund-Deformity

Heel Pain

Sesamoid Fracture

Tarsal Tunnel Syndrome

Talus Fracture

Calcaneus Fracture

Foot Infection

Go back from Bunionette to Foot Pain




Testimonials

My compliments to you and your website. It provides the necessary knowledge and guide to bridge the gap caused by the bits of (mis)information given on most sites. Your website provides a short course on the subject. It not only guides the user, it also provides fundamental knowledge for researching the topic. Giving the user a remarkable and unmatched understanding of their topic. An ounce of knowledge makes for a better patient. I've been longing for a website such as yours. A website that is filled with information a layman can use. Its Not too complicated that it discourages the user.

Thank You for bridging the gap for me and for everyone else.

Daphane T.

Los Angeles, USA


I found your site very informative. Thank you!

Jeremy Verhines.

Jackson, Missouri, USA


Thank you for a most informative website!

Yara Eddine.

Japan


Thank you for taking the trouble to provide such a wonderfully informative and clear site.

Melanie Clough

NorthWest England


I am a third year pharmacy student from Canada. I want to say thanks for creating and maintaining this website. Your expertise and easy to understand explanations are helping to train the next generation of health care professionals across the world.

Chen

Toronto, Canada