Variations of the plantar tarsometatarsal ligaments

This study investigated the morphological variations of the plantar tarsometatarsal ligaments of the foot by classifying them based on their ligamentous components. Fifty embalmed feet from 27 adult Korean cadavers were used. The plantar tarsometatarsal ligaments comprised nine components (medial cu...

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Veröffentlicht in:Clinical anatomy (New York, N.Y.) N.Y.), 2019-07, Vol.32 (5), p.699-705
Hauptverfasser: Won, Hyung‐Jin, Oh, Chang‐Seok
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description This study investigated the morphological variations of the plantar tarsometatarsal ligaments of the foot by classifying them based on their ligamentous components. Fifty embalmed feet from 27 adult Korean cadavers were used. The plantar tarsometatarsal ligaments comprised nine components (medial cuneiform‐first metatarsal, pCn1‐M1; medial cuneiform‐second metatarsal, pCn1‐M2; medial cuneiform‐second and third metatarsals, pCn1‐M2,3; median cuneiform‐second metatarsal, pCn2‐M2; lateral cuneiform‐third metatarsal, pCn3‐M3; lateral cuneiform‐fourth metatarsal, pCn3‐M4; lateral cuneiform‐third and fourth metatarsals, pCn3‐M3,4; cuboid‐fourth metatarsal, pCb‐M4; and cuboid‐fifth metatarsal, pCb‐M5). pCn1‐M2 was newly observed in the present study. The number of the bands composing the ligament was one in the pCn1‐M2, pCn2‐M2, pCn3‐M3, and pCn3‐M4 components, and one or two in the pCn1‐M1, pCn1‐M2,3, pCn3‐M3,4, pCb‐M4, and pCb‐M5 components. The plantar tarsometatarsal ligaments were classified into five types based on the combination of their components. The pCn1‐M1, pCn1‐M2,3, and pCn2‐M2 components were consistently observed in types I–IV (88%), along with pCn3‐M3,4 in type I, pCn3‐M4 and pCb‐M5 in type II, and pCn3‐M3 in type IV. In type V (12%), the pCn1‐M1 and pCb‐M5 components were consistently present. Improved comprehension of the variations in plantar tarsometatarsal ligament anatomy is expected to help diagnose diverse injuries to this region, better understand the structural pathomechanism of the injuries, and contribute to successful treatment. Clin. Anat. 32:699–705, 2019. © 2019 Wiley Periodicals, Inc.
doi_str_mv 10.1002/ca.23376
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Fifty embalmed feet from 27 adult Korean cadavers were used. The plantar tarsometatarsal ligaments comprised nine components (medial cuneiform‐first metatarsal, pCn1‐M1; medial cuneiform‐second metatarsal, pCn1‐M2; medial cuneiform‐second and third metatarsals, pCn1‐M2,3; median cuneiform‐second metatarsal, pCn2‐M2; lateral cuneiform‐third metatarsal, pCn3‐M3; lateral cuneiform‐fourth metatarsal, pCn3‐M4; lateral cuneiform‐third and fourth metatarsals, pCn3‐M3,4; cuboid‐fourth metatarsal, pCb‐M4; and cuboid‐fifth metatarsal, pCb‐M5). pCn1‐M2 was newly observed in the present study. The number of the bands composing the ligament was one in the pCn1‐M2, pCn2‐M2, pCn3‐M3, and pCn3‐M4 components, and one or two in the pCn1‐M1, pCn1‐M2,3, pCn3‐M3,4, pCb‐M4, and pCb‐M5 components. The plantar tarsometatarsal ligaments were classified into five types based on the combination of their components. The pCn1‐M1, pCn1‐M2,3, and pCn2‐M2 components were consistently observed in types I–IV (88%), along with pCn3‐M3,4 in type I, pCn3‐M4 and pCb‐M5 in type II, and pCn3‐M3 in type IV. In type V (12%), the pCn1‐M1 and pCb‐M5 components were consistently present. Improved comprehension of the variations in plantar tarsometatarsal ligament anatomy is expected to help diagnose diverse injuries to this region, better understand the structural pathomechanism of the injuries, and contribute to successful treatment. Clin. Anat. 32:699–705, 2019. © 2019 Wiley Periodicals, Inc.</description><identifier>ISSN: 0897-3806</identifier><identifier>EISSN: 1098-2353</identifier><identifier>DOI: 10.1002/ca.23376</identifier><identifier>PMID: 30873654</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>anatomy ; Cadaver ; Cadavers ; Feet ; Female ; foot ; Foot - anatomy &amp; histology ; Humans ; Injuries ; ligament ; Ligaments ; Ligaments, Articular - anatomy &amp; histology ; Lisfranc's joint ; Male ; Metatarsal Bones - anatomy &amp; histology ; Metatarsus ; PCB ; PCB compounds ; Polychlorinated biphenyls ; Tarsal Bones - anatomy &amp; histology ; tarsometatarsal joint ; Variation</subject><ispartof>Clinical anatomy (New York, N.Y.), 2019-07, Vol.32 (5), p.699-705</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3496-779e35d6d74f2f6414711358865766eeba731557627b1ec4ec922f533f1edd8e3</citedby><cites>FETCH-LOGICAL-c3496-779e35d6d74f2f6414711358865766eeba731557627b1ec4ec922f533f1edd8e3</cites><orcidid>0000-0002-3086-7823</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fca.23376$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fca.23376$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30873654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Won, Hyung‐Jin</creatorcontrib><creatorcontrib>Oh, Chang‐Seok</creatorcontrib><title>Variations of the plantar tarsometatarsal ligaments</title><title>Clinical anatomy (New York, N.Y.)</title><addtitle>Clin Anat</addtitle><description>This study investigated the morphological variations of the plantar tarsometatarsal ligaments of the foot by classifying them based on their ligamentous components. Fifty embalmed feet from 27 adult Korean cadavers were used. The plantar tarsometatarsal ligaments comprised nine components (medial cuneiform‐first metatarsal, pCn1‐M1; medial cuneiform‐second metatarsal, pCn1‐M2; medial cuneiform‐second and third metatarsals, pCn1‐M2,3; median cuneiform‐second metatarsal, pCn2‐M2; lateral cuneiform‐third metatarsal, pCn3‐M3; lateral cuneiform‐fourth metatarsal, pCn3‐M4; lateral cuneiform‐third and fourth metatarsals, pCn3‐M3,4; cuboid‐fourth metatarsal, pCb‐M4; and cuboid‐fifth metatarsal, pCb‐M5). pCn1‐M2 was newly observed in the present study. The number of the bands composing the ligament was one in the pCn1‐M2, pCn2‐M2, pCn3‐M3, and pCn3‐M4 components, and one or two in the pCn1‐M1, pCn1‐M2,3, pCn3‐M3,4, pCb‐M4, and pCb‐M5 components. The plantar tarsometatarsal ligaments were classified into five types based on the combination of their components. The pCn1‐M1, pCn1‐M2,3, and pCn2‐M2 components were consistently observed in types I–IV (88%), along with pCn3‐M3,4 in type I, pCn3‐M4 and pCb‐M5 in type II, and pCn3‐M3 in type IV. In type V (12%), the pCn1‐M1 and pCb‐M5 components were consistently present. Improved comprehension of the variations in plantar tarsometatarsal ligament anatomy is expected to help diagnose diverse injuries to this region, better understand the structural pathomechanism of the injuries, and contribute to successful treatment. Clin. 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Fifty embalmed feet from 27 adult Korean cadavers were used. The plantar tarsometatarsal ligaments comprised nine components (medial cuneiform‐first metatarsal, pCn1‐M1; medial cuneiform‐second metatarsal, pCn1‐M2; medial cuneiform‐second and third metatarsals, pCn1‐M2,3; median cuneiform‐second metatarsal, pCn2‐M2; lateral cuneiform‐third metatarsal, pCn3‐M3; lateral cuneiform‐fourth metatarsal, pCn3‐M4; lateral cuneiform‐third and fourth metatarsals, pCn3‐M3,4; cuboid‐fourth metatarsal, pCb‐M4; and cuboid‐fifth metatarsal, pCb‐M5). pCn1‐M2 was newly observed in the present study. The number of the bands composing the ligament was one in the pCn1‐M2, pCn2‐M2, pCn3‐M3, and pCn3‐M4 components, and one or two in the pCn1‐M1, pCn1‐M2,3, pCn3‐M3,4, pCb‐M4, and pCb‐M5 components. The plantar tarsometatarsal ligaments were classified into five types based on the combination of their components. The pCn1‐M1, pCn1‐M2,3, and pCn2‐M2 components were consistently observed in types I–IV (88%), along with pCn3‐M3,4 in type I, pCn3‐M4 and pCb‐M5 in type II, and pCn3‐M3 in type IV. In type V (12%), the pCn1‐M1 and pCb‐M5 components were consistently present. Improved comprehension of the variations in plantar tarsometatarsal ligament anatomy is expected to help diagnose diverse injuries to this region, better understand the structural pathomechanism of the injuries, and contribute to successful treatment. Clin. Anat. 32:699–705, 2019. © 2019 Wiley Periodicals, Inc.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>30873654</pmid><doi>10.1002/ca.23376</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3086-7823</orcidid></addata></record>
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subjects anatomy
Cadaver
Cadavers
Feet
Female
foot
Foot - anatomy & histology
Humans
Injuries
ligament
Ligaments
Ligaments, Articular - anatomy & histology
Lisfranc's joint
Male
Metatarsal Bones - anatomy & histology
Metatarsus
PCB
PCB compounds
Polychlorinated biphenyls
Tarsal Bones - anatomy & histology
tarsometatarsal joint
Variation
title Variations of the plantar tarsometatarsal ligaments
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