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Tytuł:
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Support system of Lisfranc joint complex: An anatomical investigation with an evolutionary perspective.
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Autorzy:
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Lalwani R; Department of Anatomy, All India Institute of Medical Sciences, Bhopal, M.P., India. Electronic address: .
Kotgirwar S; Department of Anatomy, All India Institute of Medical Sciences, Bhopal, M.P., India.
Athavale SA; Department of Anatomy, All India Institute of Medical Sciences, Bhopal, M.P., India. Electronic address: .
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Źródło:
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Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2022 Oct; Vol. 28 (7), pp. 1089-1093. Date of Electronic Publication: 2022 Mar 15.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: [London] : Elsevier Ltd.
Original Publication: Paris : Arnette Blackwell, c1996-
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MeSH Terms:
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Foot*/diagnostic imaging
Ligaments, Articular*/surgery
Adult ; Cadaver ; Humans ; Lower Extremity ; Tendons
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Contributed Indexing:
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Keywords: Cadaver; Gait; Lower extremity; Metatarsal Bone; Tendons
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Entry Date(s):
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Date Created: 20220327 Date Completed: 20221004 Latest Revision: 20221004
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Update Code:
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20240105
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DOI:
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10.1016/j.fas.2022.03.004
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PMID:
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35339373
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Background: The anatomical arrangement of the Lisfranc joint between the midfoot and forefoot is complex and not just critical for bipedal gait but also for prevention, management, and rehabilitation of injuries in this region.
Material and Methods: In forty adult cadaveric lower limbs, the Lisfranc mortise, the ligaments and supports were observed and noted.
Results: The structural arrangement that accords stability to the joint has osseous, ligamentous, and tendinous components. A bony mortise, which is deep medially, disrupts the linearity of the joint line. An extensive Lisfranc ligament with confluent interosseous and plantar parts was observed. Tibialis posterior, peroneus Longus and Lisfranc ligament exhibit a unique anatomical arrangement that supports the joint inferiorly.
Conclusion: The study documents a unique lattice of tendons and ligament offering dynamic support to the joint. Demands of assumption of erect posture and bipedal walking in humans like adduction of the first ray of the foot, maintenance of longitudinal and transverse arches of the foot and ability stiffen midfoot for efficient forefoot take-off are well reflected in the joint structure and supports.
(Copyright © 2022 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.)
