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Tarso-metatarsal articulations
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These are arthrodial joints. The bones entering into their formation are the internal, middle, external cuneiform, and cuboid, which articulate with the meta-tarsal bones of the five toes. The metatarsal bone of the first toe articulates with the internal cuneiform; that of the second is deeply wedged in between the internal and external cuneiform, resting against the middle cuneiform, and being the most strongly articulated of all the metatarsal bones; the third'metatarsal articulates with the extremity of the external cuneiform; the fourth with the cuboid and external cuneiform; and the fifth with the cuboid. These various articular surfaces are covered with cartilage, lined by synovial membrane, and connected together by the following ligaments.
- Dorsal;
- Plantar;
- Interosseous.
The Dorsal Ligaments consist of strong, flat, fibrous bands, which connect the tarsal with the metatarsal bones. The first metatarsal is connected to the internal cuneiform by a single broad, thin, fibrous band; the second has three dorsal ligaments, one from each cuneiform bone; the third has one from the external cuneiform; and the fourth and fifth have one each from the cuboid.
The Plantar Ligaments consist of strong fibrous bands connecting the tarsal and metatarsal bones, but disposed with less regularity than on the dorsal surface. Those for the first and second metatarsal are the most strongly marked; the second and third receive strong fibrous bands, which pass obliquely across from the internal cuneiform; the plantar ligaments of the fourth and fifth consist of a few scanty fibres derived from the cuboid.
The Interosseous Ligaments are three in number: internal, middle, and external. The internal one passes from the outer extremity of the internal cuneiform, to the adjacent angle of the second metatarsal. The middle one, less strong than the preceding, connects the external cuneiform with the adjacent angle of the second metatarsal. The external interosseous ligament connects the outer angle of the external cuneiform with the adjacent side of the third metatarsal.
The Synovial Membranes of these articulations are three in number: one for the metatarsal bone of the great toe, with the internal cuneiform: one for the second and third metatarsal bones, with the middle and external cuneiform; this is continuous with the great tarsal synovial membrane: and one for the fourth and fifth metatarsal bones with the cuboid. The synovial membranes of the tarsus and metatarsus are thus seen to be six in number (fig. 129).
ARTICULATIONS OF THE METATARSAL BONES WITH EACH OTHER.
At their tarsal extremities, the metatarsal bones are connected together by dorsal, plantar, and interosseous ligaments. The dorsal and plantar ligaments pass from one metatarsal bone to another. The interosseous ligaments lie deeply between the rough non-articular portions of their lateral surfaces. The articular surfaces are covered by synovial membrane, continued forwards from their respective tarsal joints. At their digital extremities, they are connected to each other by the transverse metatarsal ligament, which holds them loosely together. This ligament, which is analogous to the same structure in the hand, connects the great toe with the rest of the metatarsal bones, which in this respect differs from the same structure in the hand.
Actions. The movement permitted in the tarsal ends of the metatarsal bones is limited to a slight gliding of the articular surfaces upon one another; considerable motion, however, takes place in their digital extremities.
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