Pertinent Pearls On Fifth Metatarsal Osteotomies

Start Page: 44
Jane Pontious, DPM, FACFAS, and Corine Creech, DPM

1. Roukis TS. The tailor’s bunionette deformity: a field guide to surgical correction. Clin Podiatr Med Surg. 2005; 22(2):223-45.
2. Davies H. Metatarsus quintus valgus. Br Med J. 1949; 1(4606):664-5.
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4. DeVries. In: Surgery of the Foot, 4th ed. CVMosby, St. Louis, 1978, pp. 273-7.
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6. Hicks JH. Mechanics of the foot. I. The Joints. J Anat. 1953; 87:345-57.
7. Root ML, Orien WP, Weed JK. Normal and abnormal function of the foot: clinical biomechanics, volume 2. Clinical Biomechanics, Los Angeles, 1977, pp. 249-50, 425-42
8. Fallat LM, Buckholtz J. An analysis of the tailor’s bunion by radiographic and anatomical display. J Am Podiatry Assoc. 1980; 70(12):597-603.
9. Pontious J, Dunn SP. Tailor’s Bunions. In McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery, 4th ed., Vol. 1. Lippincott Williams & Wilkins, Philadelphia, 2012, pp. 235-44.
10. Crawford ME. Deformities of the Fifth Metatarsal In: McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery, 3rd ed., vol. 1. Lippincott Williams & Wilkins, Philadelphia, 2001, pp. 339-53.
11. Crawford M. Surgical considerations of the fifth metatarsal bunionette condition. In Chang T (ed.). Master Techniques In Podiatric Surgery: The Foot And Ankle. Lippincott, Williams and Wilkins, Philadelphia, 2005, pp. 93-104.
12. Helal B. Metatarsal ostotomy for metatarsalgia. J Bone Joint Surg Br. 1975; 57(2):187-92.
13. Hohmann G. Fuss and Bien. JF Bergmann, Munich, 1951, p. 145.
14. Steinke MS, Boll KL. Hohmann-Thomasen metatarsal osteotomy for tailor’s bunion (bunionette). J Bone Joint Surg Am. 1989; 71(3):423-6.
15. American College of Foot and Ankle Surgeons. Tailor’s bunion and associated fifth metatarsal conditions: preferred practice guidelines, 1993.
16. Gerbert J, Sgarlato TE, Subotnick SI. Preliminary study of a closing wedge osteotomy of the fifth metatarsal for correction of a tailor’s bunion deformity. J Am Podiatry Assoc. 1972; 62(6):212-8.
17. Okuda R, Kinoshita M, Morikawa J, Jotoku T, et al. Proximal dome-shaped osteotomy for symptomatic bunionette. Clin Orthop Relat Res. 2002; 396:173-8
18. Pontious J, Brook JW, Hillstrom HJ. Tailor’s bunion. Is fixation necessary? J Am Podiatr Med Assoc. 1996; 86(2):63-73.

   For further reading, see the DPM Blog “What Is The Best Way To Treat A Tailor’s Bunion?” at or “A Guide To Hybrid Screw Fixation In Lesser Metatarsal Surgery” in the January 2008 issue of Podiatry Today. To access the archives, visit

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