The cuneiform bones are three wedge-shaped bones located in the medial part of the tarsus. They contribute to the structure and stability of the foot's arch. The cuneiforms are named according to their relative positions: medial, intermediate, and lateral.
Location
Situated in the medial part of the tarsus
Positioned between the navicular bone posteriorly and the first three metatarsals anteriorly
Arranged side by side in the distal row of tarsal bones
Function
Contribute to the transverse arch of the foot
Provide structural support for weight distribution
Allow for limited movement between tarsal bones
MEDIAL CUNEIFORM
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The medial cuneiform is the largest of the cuneiform bones. It is situated at the medial side of the foot and plays a crucial role in forming the medial longitudinal arch.
Size and Shape
Largest of the three cuneiform bones
Wedge-shaped with the apex directed downward
Located on the medial side of the foot
Articulations
Articulates with the navicular bone posteriorly (behind)
Articulates with the base of the first metatarsal bone anteriorly (in front)
Articulates with the intermediate cuneiform laterally
May articulate with the base of the second metatarsal
Muscle Attachments
Tibialis anterior - inserts on the medial and plantar surfaces
Tibialis posterior - partial insertion
Peroneus longus - inserts on the lateral aspect
INTERMEDIATE CUNEIFORM
The intermediate cuneiform is the smallest of the cuneiform bones. It is situated between the medial and lateral cuneiform bones.
Size and Shape
Smallest of the three cuneiform bones
Wedge-shaped with the apex directed downward
Shorter than the medial and lateral cuneiforms
Articulations
Articulates with the navicular bone posteriorly (behind)
Articulates with the second metatarsal bone anteriorly (in front)
Articulates with the medial cuneiform on one side
Articulates with the lateral cuneiform on the other side
Position
Recessed relative to its neighbors, creating a mortise for the second metatarsal
This arrangement provides stability to the tarsometatarsal joint
LATERAL CUNEIFORM
The lateral cuneiform is intermediate in size between the medial and intermediate cuneiform bones. It is located between the intermediate cuneiform and the cuboid bone.
Size and Shape
Intermediate in size between medial and intermediate cuneiforms
Wedge-shaped with the apex directed downward
Located on the lateral aspect of the cuneiform group
Articulations
Articulates with the navicular bone posteriorly (behind)
Articulates with the third metatarsal bone anteriorly (in front)
Articulates with the intermediate cuneiform medially
Articulates with the cuboid bone laterally
Muscle Attachments
Tibialis posterior - partial insertion
Flexor hallucis brevis - may have partial origin
BIBLIOGRAPHY
1. Henry G, Warren HL. Osteology. In: Anatomy of the Human Body. 20th ed. Philadelphia: Lea & Febiger; 1918. p. 129–97.