by manjunath koti, and nicola maffulli

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Fig. 1 a: The fourth-fifth intermetatarsal angle as measured with one method. Fig. 1 a: The fourth-fifth intermetatarsal angle as measured with one method. The angle is formed between a line along the medial and proximal portions of the shaft of the fifth metatarsal and a line drawn along the axis of the fourth metatarsal. This angle is more accurate than the one labeled b. b: The fourth-fifth intermetatarsal angle as measured with another method. The angle is formed between the long axes of the fifth and fourth metatarsals. Manjunath Koti, and Nicola Maffulli J Bone Joint Surg Am 2001;83:1076-1082 ©2001 by The Journal of Bone and Joint Surgery, Inc.

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Bunionette

by Manjunath Koti, and Nicola Maffulli

J Bone Joint Surg AmVolume 83(7):1076-1082

July 1, 2001

©2001 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1 a: The fourth-fifth intermetatarsal angle as measured with one method.

Manjunath Koti, and Nicola Maffulli J Bone Joint Surg Am 2001;83:1076-1082

©2001 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2 Measurement of the lateral deviation angle.

Manjunath Koti, and Nicola Maffulli J Bone Joint Surg Am 2001;83:1076-1082

©2001 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3 The fifth metatarsophalangeal angle indicates the magnitude of medial deviation of the fifth toe in relation to the axis of the fifth metatarsal shaft.

Manjunath Koti, and Nicola Maffulli J Bone Joint Surg Am 2001;83:1076-1082

©2001 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4 Type-1 bunionette (enlargement of the lateral surface of the fifth metatarsal).

Manjunath Koti, and Nicola Maffulli J Bone Joint Surg Am 2001;83:1076-1082

©2001 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5 Type-2 bunionette (lateral bowing of the distal aspect of the fifth metatarsal without hypertrophy of the metatarsal head).

Manjunath Koti, and Nicola Maffulli J Bone Joint Surg Am 2001;83:1076-1082

©2001 by The Journal of Bone and Joint Surgery, Inc.

Fig. 6 Type-3 bunionette (an increase in the fourth-fifth intermetatarsal angle).

Manjunath Koti, and Nicola Maffulli J Bone Joint Surg Am 2001;83:1076-1082

©2001 by The Journal of Bone and Joint Surgery, Inc.

a: Technique for sliding oblique metaphyseal osteotomy.

Manjunath Koti, and Nicola Maffulli J Bone Joint Surg Am 2001;83:1076-1082

©2001 by The Journal of Bone and Joint Surgery, Inc.

A Kirschner wire is used to maintain stability.

Manjunath Koti, and Nicola Maffulli J Bone Joint Surg Am 2001;83:1076-1082

©2001 by The Journal of Bone and Joint Surgery, Inc.

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