First Metatarsal Head and Medial Eminence Widths with and Without Hallux Valgus

Resection of the medial eminence in bunioncorrection surgery is commonly performed and welldescribed. In 1923, Silver1described using a chiselto remove a thin layer of cortex, along withperiosteum and any exostoses, from the medialaspect of the first metatarsal head for treatment ofhallux valgus. In 1928, McBride2described aconservative operation for bunions that focusedon correcting muscle contracture and that includedresection of the prominence on the medial aspect ofthe metatarsal head. In 1967, he reemphasized theimportance of resection of the bunion prominenceto ensure sufficient correction.3These articles laidthe framework for the medial eminence resectionthat is commonly performed today…

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