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Bunionette (Tailor's Bunion)

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A bunionette, or tailor's bunion, is a bony prominence on the outside of the foot at the base of the little toe. It is a visible deformity caused by an enlargement of the outer part of the fifth metatarsal joint. It is more common in women than men.

Causes

• Prolonged abnormal pressure and rubbing on the toe joint
• Wearing shoes that are too tight or narrow, squeezing the toes together
• High-heeled or pointed footwear
• Genetic predisposition — can run in families
• May be associated with a bunion of the big toe

Symptoms

• A visible bony lump on the outer side of the foot
• Redness, swelling, and tenderness over the prominence
• Pain when wearing shoes
• Callus formation over the bump
• Difficulty finding comfortable footwear

Non-Surgical Treatment

• Wider, roomier footwear to reduce pressure
• Bunionette pads to cushion the prominence and reduce friction

Surgery

If conservative measures fail, surgical correction may be recommended. In Mr Hester's experience, the best results are obtained by breaking and realigning (osteotomy) the fifth metatarsal bone rather than simply shaving the bone. This creates a narrower foot that rubs less on footwear and minimises recurrence. A small screw is used to hold the bones together while they heal, typically over 4–5 weeks in a protective surgical sandal.