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. Surgical intervention is being considered at this time, however, any thoughts would be appreciated on which surgical approach would be appropriate.

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Painful Callus lateral plantar 5th metatarsal head

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