Painful Callus lateral plantar 5th metatarsal head

I have a 49 y/o female with a prominent callosity lateral plantar 5th metatarsal head in which conservative treatment has been unsuccessful. Xrays do not show significant deformity of distal 5th metatarsal and soft tissue ultrasound was negative for underlying mass.

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Painful Callus lateral plantar 5th metatarsal head

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