The foot consists of the Hindfoot (calcaneus and talus bones), Midfoot (navicular, cuboid, cuneiform bones) and Forefoot (metatarsal and phalanx bones).

The ankle joint is a hinge joint with muscles crossing it to allow ankle range of motion (ROM) while muscles crossing the midfoot and forefoot area allow foot ROM.

• Bunionette (Tailors) little toe deformity is prominence of the lateral aspect of the metatarsal head area

Clinical presentation:

• Local pain
• Bursa formation or ulceration
• Pain aggravated by wearing tight fitting shoes

Type:

1. 1: Enlarged metatarsal head
2. 2: Lateral bowing of metatarsal head
3. 3: Increased lateral bowing with increased intermetatarsal angle between 4th and 5th metatarsal (IMA > 8°)

• Non operative measures include analgesia, shoe wear modifications with wider toe box and padding over the lateral bunion area
• Definitive management is surgical correction of the deformity

1. Management of Bunionette Deformity. Glenn Guangyu Shi, Ammar Humayun, Joseph L Whalen, Harold B Kitaoka. J Am Acad Orthop Surg. 2018 Oct 1;26(19):e396-e404.