03/15/2013    

QUERIES (CLINICAL)

Query: Suggestions for Painful Bunion

This AP, weight-bearing x-ray is the foot of a 50 year-old female. She is basically healthy with some osteopenia. The lateral view shows a calcaneal inclination of 25 degrees and normal talar declination. There is a mild anterior break in the cyma line. Her bunion is painful and progressively getting worse over the years.

Painful Bunion in 50 Year Old Female

On physical exam (using "C" arm), she does seem to have a very flexible met-cuni joint. The 1st MTPJ is trackbound with mild non-painful crepitus. There are no severe arthritic signs. After presenting her with conservative and surgical options, this lady wants surgical resolution. Suggestions are welcome.

Tip Sullivan, DPM, Jackson, MS