In some patients the forefoot is so wide that the shoes rub against the outside of the foot at the little toe. The name of the condition came from the time when tailors used to sit cross-legged on a table when they sewed and put pressure on the outside of the forefoot.
1. The lump on the outside is cut off.
2. The joint head is sawn through and pushed towards the foot so that the foot becomes narrower.
3. The joint head is often fixed with a screw or pin. The protruding bone is then sawn off.
There isn’t any bone growth that causes discomfort, but the forefoot has become too wide because of the ligaments becoming more lax. The bursa outside the joint head swells and becomes painful.
The forefoot can be narrowed by cutting off the ball joint at the little toe and pushing it against the inside of the foot. Sometimes a screw is used to fix the ball joint during healing. Sick leave in any job involving walking for about 6 weeks. Weight can begin to be put on the foot immediately.
The operation usually produces good results with lasting pain relief and a thinner forefoot.