Bunionette – “Tailor’s Bunion” of the foot

What is a Tailor’s Bunion?

A tailor’s bunion is a painful bony prominence on lateral aspect of the 5th met head. The pain from a Tailor’s bunion is caused by the large bony prominence that is rubbing against shoe wear and/or a painful bursa formation.

How to diagnose a Tailor’s Bunion?

A tailor’s bunion can be seen clinically and X-rays are used to confirm the Tailor’s bunion. The bunion can be caused by an enlarged 5th metatarsal head (normal <13 mm), Increased 4th-5th intermetatarsal angle (normal 6.5-8), and/or increased lateral bowing of the 5th metatarsal (normal 0-7 degrees).

How to treat a Tailor’s Bunion?

Tailor’s bunion can be treated conservatively by wear wider shoes, inserts, and gel cushions. If patient continue to have pain after trying conservative treatment that surgery is warrantied. There are a wide array of surgical procedures that can be done and will be chosen by your surgeon.  In my hands the long oblique distal osteotomy has provided the best results.

Video of a tailors bunion surgery: https://youtu.be/IAOuLNavJl0

If you have foot or ankle pain and would like a consultation. Make an appointment at Orange County Podiatry with Dr. Andrew Yang https://ocfootandankleclinic.com/appointments/ or call (949) 651-1202

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