Pain and prominence around the head of the fifth metatarsal is the main reason for which treatment is sought. The pain is worse with activities and with narrow front shoes. At times associated there is a callus in this region underneath and an inflammed bursa dorsolaterally. If pain continues despite conservative measures such as wide toe box shoes with made of uppers that stretch and interfere with daily activities, then surgery can be considered. It is important to asses the general health of the patient and locally the neurovascular status.
Weight bearing radiographs are necessary to assess magnitude and type of the deformity.
Supine with pressure points padded
Lateral approach gives access to the metatarso-phalangeal joint and the metatarsal shaft
The procedure can be undertaken under local or regional blocade.Step by step description to illustrate surgical technique
Pearls and Pitfalls
Tips and problems to avoid
Include immediate postoperative care and rehabilitation
Include functional and prosthetic survivorship data as applicable
Include overview of complications
Include limited reference list