RESUMEN
Bunionette deformity, historically known as tailor's bunion, is a forefoot protuberance laterally, dorsolaterally, or plantarlaterally along the fifth metatarsal head. Although bunionette deformity has been compared to hallux valgus deformity, it is likely due to a multifactorial, anatomic interplay between fifth metatarsal bony morphology and forefoot soft-tissue imbalance. Friction generated between the bony prominence, soft tissue, and associated constrictive footwear can result in keratosis, inflammation, pain, and ulceration. Symptomatic bunionettes are usually responsive to nonsurgical management. Surgical options are available based on the underlying bony deformity when nonsurgical treatment fails.
Asunto(s)
Juanete de Sastre/cirugía , Juanete de Sastre/diagnóstico , Juanete de Sastre/fisiopatología , Juanete de Sastre/terapia , Antepié Humano/anatomía & histología , Humanos , Osteotomía/efectos adversos , Osteotomía/métodos , Complicaciones Posoperatorias , Factores de RiesgoRESUMEN
UNLABELLED: Ankle fractures are among the most common traumatic injuries encountered by orthopaedic surgeons, but obtaining anatomic syndesmosis fixation can be difficult. Previous authors have described the centroidal axis of the syndesmosis. Our group has developed a novel technique of aligning the tibia and fibula along their anatomic centroidal axis using a targeting guide, which has showed good results in 1 patient at 1-year follow-up. LEVELS OF EVIDENCE: Level V: Expert opinion.
