Tailor’s Bunion (Bunionette)
Tailor’s bunion, also known as a bunionette, is a prominence of the fifth metatarsal bone at the base of the little toe. Tailor’s bunions are not as common as typical bunions that occur on the inside of the foot, but the symptoms are similar. Tailor’s bunions get their name from centuries past when tailors would sit cross-legged all day with the outside edge of their foot rubbing the ground, resulting in bunionettes. Sometimes a tailor’s bunion is a bony spur (an outgrowth of bone) on the side of the fifth metatarsal head. Symptoms can include redness, pain, and swelling at the site of the enlargement. These symptoms are exacerbated by wearing shoes that rub the area of the enlargement. Nonsurgical treatment options include shoe modifications, padding, ice, injection therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and orthotic devices. If pain persists following nonsurgical treatment, surgery may be warranted.
“Surgery for tailor’s bunions usually involves removing the prominence of bone underneath the bunion to relieve pressure. Surgery may also be performed to properly align the fifth metatarsal if the foot has splayed.”