Moreover, a small impression was found at the medial side, where tibialis anterior tendon inserted; a small ridge for the insertion of the interosseous ligament for the intermediate cuneiform was present at its anterolateral corner.
These surfaces were for articulating with the intermediate cuneiform, which, in contrast, showed no articular surface.
When the two fragments of the BMC are put together, they form articular surfaces for articulating with the navicular bone, first and second metatarsals and intermediate cuneiform, which do not greatly differ from the normal morphology.
One from the navicular to the dorsal piece of the BMC, and three ligaments originated at the dorsal piece of the BMC and attached to the intermediate cuneiform, the base of the second metatarsal bone and the base of the first metatarsal bone.
Additional attention was paid to check whether vassels or nerves were compacted at the fractures or articular facet before reduction to prevent the iatrogenic injuries.7###The second tarsometatarsal joint should be firstly reduced if the fracture is relatively intact 3.5 mm-cortical bone screws or 4.0 mm-cannulated screws were used to fix the intermediate cuneiform
bone from the base of the second metatarsals via the second tarsometatarsal joint.