GENERAL STRUCTURE
The cuneiform bones are three wedge-shaped bones located in the medial part of the tarsus. They contribute to the structure and stability of your foot's arch. The cuneiforms are named according to their relative positions: medial, intermediate, and lateral.
Location
- Situated in the medial part of your 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 your foot
- Provide structural support for your weight distribution
- Allow for limited movement between tarsal bones
The medial cuneiform is the largest of the cuneiform bones. It is situated at the medial side of your foot and plays a crucial role in forming your medial longitudinal arch.
- Largest of the three cuneiform bones
- Wedge-shaped with the apex directed downward
- Located on the medial side of your foot
- 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
- Tibialis anterior - inserts on the medial and plantar surfaces
- Tibialis posterior - partial insertion
- Peroneus longus - inserts on the lateral aspect
The intermediate cuneiform is the smallest of the cuneiform bones. It is situated between the medial and lateral cuneiform bones.
- Smallest of the three cuneiform bones
- Wedge-shaped with the apex directed downward
- Shorter than the medial and lateral cuneiforms
- 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
- Recessed relative to its neighbors, creating a mortise for the second metatarsal
- This arrangement provides stability to your tarsometatarsal joint
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