Abstract
Tailor’s Bunion (TB) is a prominence of the Vth metatarsal bone at the base of the little toe. Scarf Osteotomy (SO) is a very useful technique to treat TB and in some cases it represents the first-rate surgical treatment for this deformity. The aim of this paper is to describe this little known pathology, analyze all surgical techniques of the past and review controlled trials or reviews that compare SO in TB published in the literature. All studies published in the literature have shown good results about the stability of the deformity correction over time, recovery of function of the little toe and pain.
Highlights
Tailor’s Bunion (TB), or Bunionette, or Digitus Quintus Varus, is a prominence of the Vth metatarsal bone at the base of the little toe, as described by Davies in 1949 [1]
The Scarf Osteotomy is a Z-shaped metatarsal osteotomy, which is commonly used for the correction of an increased intermetatarsal I/II angle in patients with hallux valgus [28]; its main advantage is the high primary stability [29]
The first article on the Scarf Osteotomy [25] is about TB caused by an increased angle between the IVth and Vth metatarsal bone: in this study the authors analyze both clinical results through the Fore Foot Scoring System (FFSS), in according to Kitaoka scoore [12], and radiological results of their surgical procedure in ten symptomatic patients
Summary
Tailor’s Bunion (TB), or Bunionette, or Digitus Quintus Varus, is a prominence of the Vth metatarsal bone at the base of the little toe, as described by Davies in 1949 [1]. This prominence was firstly observed in tailors sitting when crossing their legs because of putting pressure on the outer borders of their feet. It is clinically characterized by pain and formation of the callus, and radiographically by a wide angle between the IVth and Vth metatarsal bones, a wide metatarsophalageal angle and a deformity in varus of the metatarsophalangeal joint [2]. In a few cases of TB, procedures can be arthroplasty or silastic sphere implants [8]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
