Bunionette – Tailor's Bunion

  What is a bunionette?

A bunionette is a prominence on the outside of the foot at the base of the little toe. It is sometimes called a tailor's bunion.

What symptoms and signs might I experience?

• A lump on the outside of the forefoot.
• Pain from shoes rubbing.
• Redness and swelling.
• Corn or callus formation.
• Difficulty wearing narrow shoes.
• Pain when walking or exercising.

How is it diagnosed?

Examination and weight-bearing X-rays are usually sufficient to assess the deformity and alignment of the fifth metatarsal.

How is it treated without surgery?

Treatment may include:

• Wide-fitting footwear.
• Shoes with a soft upper.
• Protective padding.
• Insoles.
• Treatment of calluses.
• Activity modification.
• Pain relief.

When might surgery be considered?

Surgery may be considered if symptoms persist despite appropriate footwear and other treatment.

What might surgery involve?

Surgery may involve:

• Removing the prominent bone.
• An osteotomy to realign the fifth metatarsal.
• Correction of an associated little-toe deformity.

What is recovery like?

A period of protected walking in a postoperative shoe is usually required.

Swelling can persist for several months, and footwear may need to remain roomy during recovery.