Presentation
History
Presenting symptoms usually include painful keratoses over the lateral aspect of the metatarsal (MT) head, but they also may be present on the plantar and dorsal aspects. Medial deviation of the fifth phalanx with some rotation is frequently seen. Determining whether the patient is truly having pain or whether he or she just finds the foot cosmetically unacceptable is important. Assessing whether the deformity is fixed or correctable also is important. [6]
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Physical Examination
Examination should assess other foot deformities, such as hallux valgus, planovalgus foot deformity, and equinus, as well as the presence of neuritic symptoms or systemic arthropathy.
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Media Gallery
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Type 1 bunionette. Note enlarged head without marked angulation.
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Type 2 bunionette. Note abnormal bowing of metatarsal and secondary angulation of metatarsophalangeal joint.
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Type 3 bunionette. Note increased angle between fourth and fifth metatarsals. Angulation at metatarsophalangeal joint is secondary to medial pressure on phalanx.
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