Midfoot: 5th Button Out

Anatomical styloid of 5th metatarsal accommodation in frame contour

Accommodates styloid

Clinical Indication:
Relieves styloid pain
Iselin disease
Jones fracture
Dancer’s fracture
Soft-tissue growth of styloid tuberosity
Styloid prominence

A 5th button out is a slight depression made into the superior lateral frame of an orthotic device. This button out makes an accommodation for a patient’s plantar and lateral styloid area.

Note: Enlarged 5th met bases require frame fillers to elevate the surrounding areas to balance the boney prominence.

Select the depth of button out depression corresponding to the anatomy of the prominent navicular bone.

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