Добавил:
kiopkiopkiop18@yandex.ru Вовсе не секретарь, но почту проверяю Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Скачиваний:
36
Добавлен:
03.02.2024
Размер:
76.04 Mб
Скачать

Tarsal Bones - Cuboid and Navicular

The cuboid bone, like its name suggests, has a cube shape when viewed from above, but has ridges and grooves on its plantar surface. It is the lateral bone in the distal series of tarsal bones and articulates with the fourth and fi fth metatarsals. With a good imagination one can visualize the hull of a ship when observing the navicular bone. This ship-shaped bone is an intermediate bone between the talus and the three cuneiforms on the medial aspect of the foot.

Cuboid

Navicular

1

Groove for fibularis longus

9

Tuberosity

2

Cuboid tuberosity

10

Articular surface for talus

3

Calcaneal process

11

Articular surface for cuboid

4

Articular surface for calcaneus

12

Articular surface for medial cuneiform

5

Articular surface for navicular

13

Articular surface for intermediate cuneiform

6

Articular surface for lateral cuneiform

14

Articular surface for lateral cuneiform

7

Articular surface for fourth metatarsal

 

 

8

Articular surface for fifth metatarsal

 

 

1

2

2

 

3

3

 

Left cuboid

Left cuboid

Superior view, lateral to left

Inferior view, lateral to right

 

6

 

 

7

8

4

 

 

3

Left cuboid

Left cuboid

Anterior view, lateral to right

Posterior view, lateral to left

5

6

7

 

8

 

4

3

2

3

 

1

Left cuboid

Left cuboid

Medial view, anterior to right

Lateral view, anterior to left

13

Left navicular

Superior view, lateral to left

 

13

12

14

 

9

Left navicular

Anterior view, lateral to right

9

Left navicular

Medial view, anterior to right

12

9

Left navicular

Inferior view, lateral to right

10

9

Left navicular

Posterior view, lateral to left

13

14

11

Left navicular

Lateral view, anterior to left

118

Tarsal Bones - Cuneiforms

The wedge-shaped cuneiforms are the distal tarsal bones on the medial aspect

of the ankle. They articulate with the three medial metatarsal bones. Their wedge shapes contribute to the formation of the transverse arch of the foot.

7

Left lateral cuneiform

Left middle cuneiform

Superior view, lateral to left

Superior view, lateral to left

 

1

 

7

Left lateral cuneiform

Left middle cuneiform

Inferior view, lateral to right

Inferior view, lateral to right

 

Lateral cuneiform

1 Articular surface for cuboid

2 Articular surface for navicular

3 Articular surface for middle cuneiform

4 Articular surface for second metatarsal

5 Articular surface for third metatarsal

6 Articular surface for fourth metatarsal Middle cuneiform

7 Articular surface for navicular

8 Articular surface for medial cuneiform

9 Articular surface for lateral cuneiform

10Articular surface for second metatarsal Medial cuneiform

11Articular surface for navicular

12Articular surface for middle cuneiform

13Articular surface for second metatarsal

14Articular surface for first metatarsal

4

5

 

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

 

Left lateral cuneiform

Left middle cuneiform

Left medial cuneiform

Left medial cuneiform

Inferior view, lateral to right

Anterior view, lateral to right

Superior view, lateral to left

Anterior view, lateral to right

 

 

 

 

 

 

1

9

7

 

13

 

2

 

 

 

 

 

14

12

 

 

 

 

 

 

 

 

 

 

11

Left lateral cuneiform

Left middle cuneiform

 

 

Posterior view, lateral to left

Posterior view, lateral to left

 

 

2

3

 

8

Left medial cuneiform

Left medial cuneiform

 

Anterior view, lateral to right

Posterior view, lateral to left

 

 

 

 

 

 

 

 

 

13

Left lateral cuneiform

Left middle cuneiform

 

 

Medial view, anterior to right

Medial view, anterior to right

 

12

 

1

 

 

 

 

 

 

 

9

 

 

 

6

 

 

 

 

 

 

 

 

Left medial cuneiform

Left medial cuneiform

Left lateral cuneiform

Left middle cuneiform

Medial view, anterior to right

Lateral view, anterior to left

 

 

Lateral view, anterior to left

Lateral view, anterior to left

119

 

Metatarsal Bones

The fi ve metatarsal bones form the central portion of the foot skeleton. The three central metatarsals most closely resemble one another, while the fi rst and fi fth

metatarsal bones are the most distinct. The fi rst metatarsal is short and thick compared to its counterparts, while the distinguishing feature of the fi fth metatarsal bone is the projecting tuberosity at its proximal end.

1 Base

2 Shaft or body

3 Head

4 Tuberosity of first metatarsal

5 Tuberosity of fifth metatarsal

3

3

 

3

3

3

2

2

2

2

 

 

 

2

1

1

1

4

1

 

 

 

1

5

Left metatarsal bones, numbered I to V from medial to lateral

Dorsal view, lateral to left

3

3

3

3

 

3

2

2

2

2

2

1

1

4

1

1

1

 

 

 

 

5

Left metatarsal bones, numbered I to V from medial to lateral

Plantar view, lateral to right

120

Phalanges Similar in number to the phalanges of the hand, the phalanges of the foot are much smaller than those of the hand, with the exception of the large

fi rst toe. The proximal phalanges have broad bases that form the widest part of the bone. From the base a narrow shaft projects to a rounded head with a trochlear articular surface. The middle and distal phalanges are short bones that can be easily distinguished by their distal ends. The middle phalanges have a trochlear articular surface on their distal head, while the distal phalanges have a broad tuberosity at their distal ends.

1 Base

2 Shaft or body

3 Head

4 Trochlea

5 Tuberosity of distal phalanx

2

1

4

2

1

3

2

1

Left phalanges

Dorsal view, lateral to left

5

5

5

5

5

1

2

1

4

3

2

1

Left phalanges

Plantar view, lateral to right

121