Indications

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.

Preoperative Planning

Weight bearing radiographs are necessary to assess magnitude and type of the deformity.

Positioning

Supine with pressure points padded

Approach

Lateral approach gives access to the metatarso-phalangeal joint and the metatarsal shaft

Techniques

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

Postoperative Care

Include immediate postoperative care and rehabilitation

Outcome

Include functional and prosthetic survivorship data as applicable

Complications

Include overview of complications

References

Include limited reference list