Juvenile bunions have different etiologies and require specific operat
ive approaches. Any operative procedure to correct a juvenile hallux v
algus deformity should correct all the components of the deformity, i.
e. pronation of the hallux, the increased hallux valgus angle, the enl
arged medial eminence, the increased intermetatarsal angle, and hyperm
obility or obliquity of the first metatarsocuneiform joint with the in
tention of decreasing the rate of recurrence.