nach oben

Surgical and Radiologic Anatomy

Erschienen in:

20.02.2024 | Original Article

Anatomical analysis of ligaments surrounding calcaneocuboid joint; implications for role in foot stability

verfasst von: Akino Aoki, Yukiko Makihara, Akihiro Tamura, Takaya Ishii, Kyutaro Kawagishi

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 4/2024

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The calcaneocuboid joint is located in the lateral part of the foot and acts as a major stabilizer for the foot. Injuries to this joint often occur in association with ankle or foot injuries and are frequently overlooked, subsequently causing chronic pain or osteoarthritis. However, the relationship between ligaments surrounding the joint and joint instability remains unclear. Therefore, this study aimed to clarify the morphology and position of the ligaments surrounding the calcaneocuboid joint, and to reveal the relationship between the ligament structure.

Methods

The position and morphology of the bifurcate ligament (subdivided into calcaneonavicular and calcaneocuboid ligaments), dorsal calcaneocuboid ligament, lateral calcaneocuboid ligament, long plantar ligament, and short plantar ligament were measured (N = 11 feet in 6 Japanese cadavers). The circumference of the joint was quartered, while the ligament-uncovered area and the estimated cross-sectional area of each ligament were compared between the four sides. Furthermore, the estimated cross-sectional area of each ligament was calculated as an index for the ligament strength.

Results

The inferolateral side of the calcaneocuboid joint had the most uncovered area (54.63%) by the ligaments. In addition, the cross-sectional area of the ligaments on the lateral side was considerably smaller than that on the medial side.

Conclusion

Our results suggest that ligament weakness on the inferolateral side may cause instability of the calcaneocuboid joint, especially after an inversion sprain injury, and may decrease the lateral longitudinal arch function, which results in chronic foot pain.

Andermahr J, Helling HJ, Maintz D, Mönig S, Koebke J, Rehm KE (2000) The injury of the calcaneocuboid ligaments. Foot Ankle Int 21:379–384. https://doi.org/10.1177/107110070002100504CrossRefPubMed

Babacan S, Kafa İM (2022) Morphology of the ligaments located on the medial side of the ankle and on the plantar surface of the foot. Surg Radiol Anat 44:261–271. https://doi.org/10.1007/s00276-021-02872-wCrossRefPubMed

Bojsen-Møller F (1979) Calcaneocuboid joint and stability of the longitudinal arch of the foot at high and low gear push off. J Anat 129:165–176PubMedPubMedCentral

Bonnel F, Teissier P, Colombier JA, Toullec E, Assi C (2013) Biometry of the calcaneocuboid joint: biomechanical implications. Foot Ankle Surg 19:70–75. https://doi.org/10.1016/j.fas.2012.12.001CrossRefPubMed

Dorn-Lange NV, Nauck T, Lohrer H, Arentz S, Konerding MA (2008) Morphology of the dorsal and lateral calcaneocuboid ligaments. Foot Ankle Int 29:942–949. https://doi.org/10.3113/fai.2008.0942CrossRefPubMed

Edama M, Ikezu M, Kaneko F et al (2019) Morphological features of the bifurcated ligament. Surg Radiol Anat 41:3–7. https://doi.org/10.1007/s00276-018-2089-yCrossRefPubMed

Edama M, Takabayashi T, Yokota H, Hrabayashi R, Sekine C, Kageyama I (2021) Morphological characteristics of the plantar calcaneocuboid ligaments. J Foot Ankle Res 14:3. https://doi.org/10.1186/s13047-020-00443-7CrossRefPubMedPubMedCentral

Fukano M, Fukubayashi T (2009) Motion characteristics of the medial and lateral longitudinal arch during landing. Eur J Appl Physiol 105:387–392. https://doi.org/10.1007/s00421-008-0915-3CrossRefPubMed

Iaquinto JM, Wayne JS (2010) Computational model of the lower leg and foot/ankle complex: application to arch stability. J Biomech Eng 132:021009. https://doi.org/10.1115/1.4000939CrossRefPubMed

10.

Kafka RM, Aveytua IL, Choi PJ et al (2019) Anatomico-radiological study of the bifurcate Ligament of the foot with clinical significance. Cureus 11:e3847. https://doi.org/10.7759/cureus.3847CrossRefPubMedPubMedCentral

11.

Kelikian AS, Sarrafian SK (2011) Sarrafian’s anatomy of the foot and ankle: descriptive, topographic, functional. Wolters Kluwer Health, Philadelphia

12.

Kolker D, Marti CB, Gautier E (2002) Pericuboid fracture-dislocation with cuboid subluxation. Foot Ankle Int 23:163–167. https://doi.org/10.1177/107110070202300215CrossRefPubMed

13.

Leland RH, Marymont JV, Trevino SG, Varner KE, Noble PC (2001) Calcaneocuboid stability: a clinical and anatomic study. Foot Ankle Int 22:880–884. https://doi.org/10.1177/107110070102201104CrossRefPubMed

14.

Main BJ, Jowett RL (1975) Injuries of the midtarsal joint. J Bone Joint Surg Br 57:89–97CrossRefPubMed

15.

Melão L, Canella C, Weber M, Negrão P, Trudell D, Resnick D (2009) Ligaments of the transverse tarsal joint complex: MRI-anatomic correlation in cadavers. AJR Am J Roentgenol 193:662–671. https://doi.org/10.2214/ajr.08.2084CrossRefPubMed

16.

Newell SG, Woodle A (1981) Cuboid syndrome. Phys Sportsmed 9:71–76. https://doi.org/10.1080/00913847.1981.11711057CrossRefPubMed

17.

Okita N, Meyers SA, Challis JH, Sharkey NA (2014) Midtarsal joint locking: new perspectives on an old paradigm. J Orthop Res 32:110–115. https://doi.org/10.1002/jor.22477CrossRefPubMed

18.

Patterson SM (2006) Cuboid syndrome: a review of the literature. J Sports Sci Med 5:597–606PubMedPubMedCentral

19.

Phan CB, Shin G, Lee KM, Koo S (2019) Skeletal kinematics of the midtarsal joint during walking: midtarsal joint locking revisited. J Biomech 95:109287. https://doi.org/10.1016/j.jbiomech.2019.07.031CrossRefPubMed

20.

Proffen BL, McElfresh M, Fleming BC, Murray MM (2012) A comparative anatomical study of the human knee and six animal species. Knee 19:493–499. https://doi.org/10.1016/j.knee.2011.07.005CrossRefPubMed

21.

Sammarco VJ (2004) The talonavicular and calcaneocuboid joints: anatomy, biomechanics, and clinical management of the transverse tarsal joint. Foot Ankle Clin 9:127–145. https://doi.org/10.1016/s1083-7515(03)00152-9CrossRefPubMed

22.

Standring S, Ellis H, Wigley C (2015) Ankle and foot. In: Standring S (ed) Gray’s anatomy: the anatomical basis of clinical practice, 41st edn. Elsevier Churchill Livingstone, New York, pp 1430–1464

23.

Takai S (1984) Structural components of the arch of the foot analyzed by radiogrammetric and multivariate statistical methods. Acta Anat (Basel) 119:161–164. https://doi.org/10.1159/000145879CrossRefPubMed

24.

Tao K, Ji WT, Wang DM, Wang CT, Wang X (2010) Relative contributions of plantar fascia and ligaments on the arch static stability: a finite element study. Biomed Tech (Berl) 55:265–271. https://doi.org/10.1515/bmt.2010.041CrossRefPubMed

25.

Wang WJ, Crompton RH (2004) Analysis of the human and ape foot during bipedal standing with implications for the evolution of the foot. J Biomech 37:1831–1836. https://doi.org/10.1016/j.jbiomech.2004.02.036CrossRefPubMed

Titel: Anatomical analysis of ligaments surrounding calcaneocuboid joint; implications for role in foot stability
verfasst von: Akino Aoki
Yukiko Makihara
Akihiro Tamura
Takaya Ishii
Kyutaro Kawagishi
Publikationsdatum: 20.02.2024
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 4/2024
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-024-03303-2

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Anatomical analysis of ligaments surrounding calcaneocuboid joint; implications for role in foot stability

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet Radiologie

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Akuter Schwindel: Wann lohnt sich eine MRT?

Update Radiologie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2024

Superior mesenteric artery revisited using magnetic resonance angiography

Growth of the brachial nerve plexus with reference to topographical relation of the medianus nerve ansa with the thoracic wall and shoulder: a histologic study using human embryos and fetuses

A thyroidea ima artery variation providing collateral circulation to the mediastinum

Fraser syndrome with limb reduction defect: a rare and unique anatomic variation

Hypertrophied medial parapatellar plica: a case of a medial plica anatomical variation with insertion to the inter-meniscal ligament in an adolescent athlete treated arthroscopically

A bilateral four-headed brachialis muscle with a variant innervation: a cadaveric report with possible clinical implications

Neu im Fachgebiet Radiologie

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Akuter Schwindel: Wann lohnt sich eine MRT?

Update Radiologie