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In page Syndesmosis procedure:
"Primus varus deformity is the leaning of the first metatarsal bone away from the second metatarsal and towards the opposite foot (Fig. 1). As it leans over, its head sticks out to form the bunion bump and it also widens the forefoot to cause shoes feeling too tight. Thus when bunion pain becomes unmanageable, surgical correction is to narrow the forefoot by repositioning of the first metatarsal head back to its normal position. This can be done by osteotomy (bone-breaking), soft tissue (non-osteotomy) or fusion techniques.[citation needed]
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