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The transverse metatarsal ligament is a narrow band which runs across and connects together the heads of all the metatarsal bones. It is blended anteriorly with the plantar (glenoid) ligaments of the metatarsophalangeal articulations. Its plantar surface is concave where the Flexor tendons run below it.
A transverse system at the MTP joints is formed by the plantar plates and the deep transverse metatarsal ligament. The strong, longitudinal fibres of the deep plantar fascia are inserted along this transverse system to form a strong longitudinal system. The longitudinal system controls the longitudinal arches of the foot, whilst the transverse ...
Neurectomy may be performed using one of two general methods. Making the incision from the dorsal side (the top of the foot) is the more common method but requires cutting the deep transverse metatarsal ligament that connects the third and fourth metatarsals in order to access the nerve beneath it.
The dorsal ligaments pass transversely between the dorsal surfaces of the bases of the adjacent metatarsal bones. The plantar ligaments have a similar arrangement to the dorsal. The interosseous ligaments consist of strong transverse fibers which connect the rough non-articular portions of the adjacent surfaces.
The plantar ligaments consist of longitudinal and oblique bands, disposed with less regularity than the dorsal ligaments. Those for the first and second metatarsals are the strongest; the second and third metatarsals are joined by oblique bands to the first cuneiform; the fourth and fifth metatarsals are connected by a few fibers to the cuboid.
A Lisfranc injury, also known as Lisfranc fracture, is an injury of the foot in which one or more of the metatarsal bones are displaced from the tarsus. [1] [2]The injury is named after Jacques Lisfranc de St. Martin, a French surgeon and gynecologist who noticed this fracture pattern amongst cavalrymen in 1815, after the War of the Sixth Coalition.