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Tarsometatarsal Joint

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Lisfranc joint cross section with the dorsal, interosseous, and plantar oblique ligaments[1]
  • Alternative Names
    • Lisfranc Joint
    • Tarsal-metatarsal Joint
  • Proximal Bones
  • Distal Bones
    • Metatarsals 1 through 5
    • Second metatarsal is keystone between medial, lateral cuneiforms
  • 3 columns of the midfoot[2]
    • Medial column: articulation between the first metatarsal and the medial cuneiform
    • Middle column: 2nd, 3rd metatarsals articulation with the middle, lateral cuneiforms
    • Lateral column: 4th, 5th metatarsals articulation with the cuboid
  • Lisfranc ligamentous complex
    • Intermetatarsal interosseous ligaments
      • Strongest of the ligaments structures
      • There is no intermetarsal ligament between the first and second metatarsal bases
      • Thin dorsal ligaments connect the second, third, fourth and fifth metatarsals.
    • Lisfranc ligament
      • “Y” shaped interosseous ligament is the main stabilizer
      • Plantar structure extends from the lateral aspect of the medial cuneiform to the medial aspect of the second metatarsal base.
      • The strength of this ligament is such that its disruption will lead to altered stability within the medial and middle columns of the foot.




Clinical Significance

See Also

  1. Chen, Jie, Navraj Sagoo, and Vinod Kumar Panchbhavi. "The Lisfranc Injury: A Literature Review of Anatomy, Etiology, Evaluation, and Management." Foot & Ankle Specialist (2020): 1938640020950133.
  2. Peicha, G., et al. "The anatomy of the joint as a risk factor for Lisfranc dislocation and fracture-dislocation: an anatomical and radiological case control study." The Journal of bone and joint surgery. British volume 84.7 (2002): 981-985.
Created by:
John Kiel on 26 June 2019 00:13:03
Last edited:
9 December 2021 18:14:27