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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2010

01-05-2010 | Ankle

Surgical anatomy of the midfoot

Authors: Christopher J. Pearce, James D. Calder

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2010

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Abstract

The midfoot plays a vital role in the stability of the foot as a whole. Injuries to the midfoot may be subtle and can lead to significant long-term morbidity, especially where there is a delay in diagnosis and treatment. This article describes the anatomy of the midfoot that is relevant to surgical practice. It should provide the reader with an understanding of how the anatomy of the midfoot relates to its function as well as discussing the anatomical considerations of injuries and surgery in this area. Anatomical knowledge aids clinical practice in terms of the recognition of abnormalities and the guidance of treatment.
Literature
1.
go back to reference Astion DJ, Deland JT, Otis JC, Kenneally S (1997) Motion of the hindfoot after simulated arthrodesis. J Bone Joint Surg Am 79:241–246PubMed Astion DJ, Deland JT, Otis JC, Kenneally S (1997) Motion of the hindfoot after simulated arthrodesis. J Bone Joint Surg Am 79:241–246PubMed
2.
go back to reference Blair JM, Botte MJ (1994) Surgical anatomy of the superficial peroneal nerve in the ankle and foot. Clin Orthop Relat Res 305:229–238 Blair JM, Botte MJ (1994) Surgical anatomy of the superficial peroneal nerve in the ankle and foot. Clin Orthop Relat Res 305:229–238
3.
go back to reference Canovas F, Bonnel F, Kouloumdjian P (1996) The superficial peroneal nerve at the foot. Organisation, surgical applications. Surg Radiol Anat 18:241–244PubMed Canovas F, Bonnel F, Kouloumdjian P (1996) The superficial peroneal nerve at the foot. Organisation, surgical applications. Surg Radiol Anat 18:241–244PubMed
4.
go back to reference Curtis MJ, Myerson M, Szura B (1993) Tarsometatarsal joint injuries in the athlete. Am J Sports Med 21:497–502CrossRefPubMed Curtis MJ, Myerson M, Szura B (1993) Tarsometatarsal joint injuries in the athlete. Am J Sports Med 21:497–502CrossRefPubMed
5.
go back to reference de Palma L, Santucci A, Sabetta SP, Rapali S (1997) Anatomy of the Lisfranc joint complex. Foot Ankle Int 18:356–364PubMed de Palma L, Santucci A, Sabetta SP, Rapali S (1997) Anatomy of the Lisfranc joint complex. Foot Ankle Int 18:356–364PubMed
6.
go back to reference Englanoff G, Anglin D, Hutson HR (1995) Lisfranc fracture-dislocation: a frequently missed diagnosis in the emergency department. Ann Emerg Med 26:229–233CrossRefPubMed Englanoff G, Anglin D, Hutson HR (1995) Lisfranc fracture-dislocation: a frequently missed diagnosis in the emergency department. Ann Emerg Med 26:229–233CrossRefPubMed
7.
go back to reference Faciszewski T, Burks RT, Manaster BJ (1990) Subtle injuries of the Lisfranc joint. J Bone Joint Surg Am 72:1519–1522PubMed Faciszewski T, Burks RT, Manaster BJ (1990) Subtle injuries of the Lisfranc joint. J Bone Joint Surg Am 72:1519–1522PubMed
8.
go back to reference Fitch KD, Blackwell JB, Gilmour WN (1989) Operation for non-union of stress fracture of the tarsal navicular. J Bone Joint Surg Br 71:105–110PubMed Fitch KD, Blackwell JB, Gilmour WN (1989) Operation for non-union of stress fracture of the tarsal navicular. J Bone Joint Surg Br 71:105–110PubMed
9.
go back to reference Foster SC, Foster RR (1976) Lisfranc’s tarsometatarsal fracture-dislocation. Radiology 120:79–83PubMed Foster SC, Foster RR (1976) Lisfranc’s tarsometatarsal fracture-dislocation. Radiology 120:79–83PubMed
10.
go back to reference Hermel MB, Gershon-Cohen J (1953) The nutcracker fracture of the cuboid by indirect violence. Radiology 60:850–854PubMed Hermel MB, Gershon-Cohen J (1953) The nutcracker fracture of the cuboid by indirect violence. Radiology 60:850–854PubMed
11.
go back to reference Kaar S, Femino J, Morag Y (2007) Lisfranc joint displacement following sequential ligament sectioning. J Bone Joint Surg Am 89:2225–2232CrossRefPubMed Kaar S, Femino J, Morag Y (2007) Lisfranc joint displacement following sequential ligament sectioning. J Bone Joint Surg Am 89:2225–2232CrossRefPubMed
12.
go back to reference Kenzora JE (1986) Sensory nerve neuromas–leading to failed foot surgery. Foot Ankle 7:110–117PubMed Kenzora JE (1986) Sensory nerve neuromas–leading to failed foot surgery. Foot Ankle 7:110–117PubMed
13.
go back to reference Komenda GA, Myerson MS, Biddinger KR (1996) Results of arthrodesis of the tarsometatarsal joints after traumatic injury. J Bone Joint Surg Am 78:1665–1676PubMed Komenda GA, Myerson MS, Biddinger KR (1996) Results of arthrodesis of the tarsometatarsal joints after traumatic injury. J Bone Joint Surg Am 78:1665–1676PubMed
14.
go back to reference Lawrence SJ, Botte MJ (1995) The deep peroneal nerve in the foot and ankle: an anatomic study. Foot Ankle Int 16:724–728PubMed Lawrence SJ, Botte MJ (1995) The deep peroneal nerve in the foot and ankle: an anatomic study. Foot Ankle Int 16:724–728PubMed
15.
go back to reference Lee CA, Birkedal JP, Dickerson EA, Vieta PA Jr, Webb LX, Teasdall RD (2004) Stabilization of Lisfranc joint injuries: a biomechanical study. Foot Ankle Int 25:365–370PubMed Lee CA, Birkedal JP, Dickerson EA, Vieta PA Jr, Webb LX, Teasdall RD (2004) Stabilization of Lisfranc joint injuries: a biomechanical study. Foot Ankle Int 25:365–370PubMed
16.
go back to reference Mann RA, Prieskorn D, Sobel M (1996) Mid-tarsal and tarsometatarsal arthrodesis for primary degenerative osteoarthrosis or osteoarthrosis after trauma. J Bone Joint Surg Am 78:1376–1385PubMed Mann RA, Prieskorn D, Sobel M (1996) Mid-tarsal and tarsometatarsal arthrodesis for primary degenerative osteoarthrosis or osteoarthrosis after trauma. J Bone Joint Surg Am 78:1376–1385PubMed
17.
go back to reference Myerson M (1989) The diagnosis and treatment of injuries to the Lisfranc joint complex. Orthop Clin North Am 20:655–664PubMed Myerson M (1989) The diagnosis and treatment of injuries to the Lisfranc joint complex. Orthop Clin North Am 20:655–664PubMed
18.
go back to reference Myerson MS (1999) The diagnosis and treatment of injury to the tarsometatarsal joint complex. J Bone Joint Surg Br 81:756–763CrossRefPubMed Myerson MS (1999) The diagnosis and treatment of injury to the tarsometatarsal joint complex. J Bone Joint Surg Br 81:756–763CrossRefPubMed
19.
go back to reference Myerson MS, Fisher RT, Burgess AR, Kenzora JE (1986) Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle 6:225–242PubMed Myerson MS, Fisher RT, Burgess AR, Kenzora JE (1986) Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle 6:225–242PubMed
20.
go back to reference Niranjan NS (2008) Ankle and foot. Gray’s Anatomy, chap 84, 40th edn. p 1438 Niranjan NS (2008) Ankle and foot. Gray’s Anatomy, chap 84, 40th edn. p 1438
21.
go back to reference Ouzounian TJ, Shereff MJ (1989) In vitro determination of midfoot motion. Foot Ankle 10:140–146PubMed Ouzounian TJ, Shereff MJ (1989) In vitro determination of midfoot motion. Foot Ankle 10:140–146PubMed
22.
go back to reference Savory KM, Wulker N, Stukenborg C, Alfke D (1998) Biomechanics of the hindfoot joints in response to degenerative hindfoot arthrodeses. Clin Biomech (Bristol, Avon) 13:62–70CrossRef Savory KM, Wulker N, Stukenborg C, Alfke D (1998) Biomechanics of the hindfoot joints in response to degenerative hindfoot arthrodeses. Clin Biomech (Bristol, Avon) 13:62–70CrossRef
23.
24.
go back to reference Solan MC, Lemon M, Bendall SP (2001) The surgical anatomy of the dorsomedial cutaneous nerve of the hallux. J Bone Joint Surg Br 83:250–252CrossRefPubMed Solan MC, Lemon M, Bendall SP (2001) The surgical anatomy of the dorsomedial cutaneous nerve of the hallux. J Bone Joint Surg Br 83:250–252CrossRefPubMed
25.
go back to reference Solan MC, Moorman CT 3rd, Miyamoto RG, Jasper LE, Belkoff SM (2001) Ligamentous restraints of the second tarsometatarsal joint: a biomechanical evaluation. Foot Ankle Int 22:637–641PubMed Solan MC, Moorman CT 3rd, Miyamoto RG, Jasper LE, Belkoff SM (2001) Ligamentous restraints of the second tarsometatarsal joint: a biomechanical evaluation. Foot Ankle Int 22:637–641PubMed
26.
go back to reference Stephens MM, Kelly PM (2000) Fourth toe flexion sign: a new clinical sign for identification of the superficial peroneal nerve. Foot Ankle Int 21:860–863PubMed Stephens MM, Kelly PM (2000) Fourth toe flexion sign: a new clinical sign for identification of the superficial peroneal nerve. Foot Ankle Int 21:860–863PubMed
27.
go back to reference Torg JS, Pavlov H, Cooley LH, Bryant MH, Arnoczky SP, Bergfeld J, Hunter LY (1982) Stress fractures of the tarsal navicular. A retrospective review of twenty-one cases. J Bone Joint Surg Am 64:700–712PubMed Torg JS, Pavlov H, Cooley LH, Bryant MH, Arnoczky SP, Bergfeld J, Hunter LY (1982) Stress fractures of the tarsal navicular. A retrospective review of twenty-one cases. J Bone Joint Surg Am 64:700–712PubMed
28.
go back to reference Vertullo CJ, Easley ME, Nunley JA (2002) The transverse dorsal approach to the Lisfranc joint. Foot Ankle Int 23:420–426PubMed Vertullo CJ, Easley ME, Nunley JA (2002) The transverse dorsal approach to the Lisfranc joint. Foot Ankle Int 23:420–426PubMed
29.
go back to reference Waugh W (1958) The ossification and vascularisation of the tarsal navicular and their relation to Köhler’s disease. J Bone Joint Surg [Br] 40-B:765–777 Waugh W (1958) The ossification and vascularisation of the tarsal navicular and their relation to Köhler’s disease. J Bone Joint Surg [Br] 40-B:765–777
Metadata
Title
Surgical anatomy of the midfoot
Authors
Christopher J. Pearce
James D. Calder
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2010
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1101-9

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