Bunionette

What is a bunionette?

A bunionette — sometimes called a tailor's bunion — is a bony prominence at the base of the little toe. It's the small-toe equivalent of a regular bunion (which affects the big toe).

Bunionettes can be present in older children and adolescents, often with a familial pattern. They develop because of the underlying anatomy of the foot, sometimes worsened by footwear that puts pressure on the outside of the forefoot.

Many bunionettes cause no problems beyond their appearance. Symptomatic ones typically respond well to footwear changes and conservative management.

What does it feel like?

Common features include:

• A visible bump on the outer side of the foot at the base of the little toe

• Pain or pressure when wearing certain shoes

• Redness or thickened skin over the bump

• Sometimes a callus on the outer side of the foot

• Discomfort with prolonged walking or standing

Symptoms are often closely tied to footwear — narrow or unsupportive shoes typically aggravate the problem.

How is it diagnosed?

Diagnosis is clinical and based on examination — the location and characteristics of the prominence make it clear.

X-rays are useful to assess the underlying bony anatomy, particularly when surgery is being considered. They show the shape and angle of the bones and help guide treatment planning.

Assessment also includes looking at the broader foot shape and footwear, since these often contribute.

What are the treatment options?

Most bunionettes are managed without surgery. Footwear modifications — wider, softer, well-fitted shoes — are the cornerstone. Padding, orthotic support and avoidance of aggravating footwear all help.

When symptoms persist despite thorough conservative measures, surgical correction is sometimes considered. The procedure depends on the specifics of the bony anatomy. Nev will work through what's right for your child at your consultation.

When should you get it checked?

Seek a specialist assessment if:

• There's persistent pain at the base of the little toe

• Footwear is consistently uncomfortable

• Skin is breaking down or developing significant calluses

• The deformity is getting worse

• You'd like a clear plan and to understand what your options are

Bunionettes are usually well managed with the right approach — and a clear assessment helps families understand what's likely to help in their specific case.