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The intermediate cuneiform (second cuneiform or middle cuneiform) is shaped like a wedge, the thin end pointing downwards. The intermediate cuneiform is situated between the other two cuneiform bones (the medial and lateral cuneiforms), and articulates with the navicular posteriorly, the second metatarsal anteriorly and with the other ...
Lisfranc fracture, with an increased distance between the medial cuneiform and the second metatarsal. The Lisfranc ligament connects the medial cuneiform bone to the second metatarsal. [2] It is a complex of 3 ligaments: the dorsal Lisfranc ligament, the interosseous Lisfranc ligament, and the plantar Lisfranc ligament. [2] [3]
The dorsal ligaments are three small bundles, one attached to each of the cuneiform bones. The bundle connecting the navicular with the medial cuneiform bone is continuous around the medial side of the articulation with the plantar ligament which unites these two bones.
The first metatarsal articulates (forms joints) with the medial cuneiform and to a small extent with the intermediate cuneiform bone. [2] Its proximal articular surface is large and kidney-shaped; its circumference is grooved, for the tarsometatarsal ligaments, and medially gives insertion to part of the tendon of the tibialis anterior.
The dorsal ligaments are strong, flat bands.. The first metatarsal is joined to the first cuneiform by a broad, thin band; the second has three, one from each cuneiform bone; the third has one from the third cuneiform; the fourth has one from the third cuneiform and one from the cuboid; and the fifth, one from the cuboid.
At its upper end, it is attached to the head of the fibula, and its "belly" runs down along most of this bone. The muscle becomes a tendon that wraps around and behind the lateral malleolus of the ankle, then continues under the foot to attach to the medial cuneiform and first metatarsal. It is supplied by the superficial fibular nerve.
The intercuneiform joints are the joints (articulations among) the cuneiform bones. The term "cuneocuboid joint" is sometimes used to describe the joint between the cuboid and lateral cuneiform, but this term is not recognized by Terminologia Anatomica .
The first metatarsal articulates with the medial cuneiform, and to a small extent to the intermediate cuneiform. [6] the second with all three cuneiforms. [6] the third with the lateral cuneiform. [6] the fourth with the lateral cuneiform and the cuboid. [6] The fifth with the cuboid. [6]