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- Title
Bunions: A review of management.
- Authors
Aebischer, Andrea S.; Duff, Samuel
- Abstract
Background: Bunions are a common complaint, particularly among older female patients. They are characterised by progressive deformity at the metatarsophalangeal joint, resulting in a painful dorsomedial prominence. This may cause difficulties with shoe wear and contribute to falls in the elderly. Objective: The aim of this article is to discuss the aetiology, non-operative and operative management of bunions, as well as indications for referral. Discussion: Initial treatment of symptomatic bunions should be non-operative. Accommodative footwear is important. There is evidence supporting the use of nonsteroidal antiinflammatory drugs, orthotics, splints/braces and toe spacers. However, these may not provide long-term relief, and referral to an orthopaedic surgeon is recommended if the patient has a painful prominence, has exhausted non-operative treatment and is a suitable operative candidate. Cosmesis alone is not an indication for operative management. Smoking is a relative contraindication to surgery, and cessation is recommended. In paediatric or adolescent patients (juvenile bunion), surgery should be delayed until skeletal maturity.
- Subjects
BUNION; METATARSOPHALANGEAL joint; ETIOLOGY of diseases; ORTHOPEDIC apparatus; SMOKING
- Publication
Australian Journal of General Practice, 2020, Vol 49, Issue 11, p720
- ISSN
2208-794X
- Publication type
Article
- DOI
10.31128/ajgp-07-20-5541