A Bunionette (also known as a tailor’s bunion) is a painful bony prominence, or bump, on the outside of the little (pinky) toe. Over time, the Bunionette may worsen as the little toe moves inward and the fifth metatarsal (the bone connected to it) moves outward. They may sometimes be confused with a bunion or described as an outside bunion.
What is a Bunionette?
A Bunionette, also known as a Tailor’s bunion, occurs when the head of the 5th metatarsal (knuckle of little toe) becomes prominent and painful.
What are the symptoms of a Bunionette?
A patient may notice that their foot appears slightly wider. This is due to the swelling around the lateral aspect of the foot. Redness and pain may then follow around the Bunionette. If left untreated then callosities or ulcers can form over the prominence.
How are Bunionettes diagnosed?
With clinical examination, it is quite straightforward to diagnose the condition. X-rays will reveal the severity of the bony abnormality and the type of Bunionette present.
How are Bunionettes treated?
Footwear adaptation, strapping and lifestyle changes can all help improve symptoms. Surgery is aimed at reducing the width of the foot by either debriding the bulkiness of the metatarsal head or performing an osteotomy to realign the joint.