The Cotton osteotomy involves the medial cuneiform
and is used to correct rotational deformities of the forefoot.
5) Its internal axial tendon courses to the medial side of the foot to insert on the medial cuneiform
and the base of the first metatarsal.
The peroneus longus tendon is located proximal and posteriorly to the lateral malleolus on the lateral surface of the calcaneus, cuboid (along the midfoot), and distally inserting at the base of the first metatarsal and medial cuneiform
I find out later the fractures to my husband's first metatarsal and medial cuneiform
will never heal correctly, and he'll ache when the weather turns.
Ability of the Freer elevator to pass between the medial cuneiform
and base of second metatarsal with limited restriction was considered, by the investigators, to be consistent with sufficient laxity of the ligament.
The index finger of the lower hand is wrapped around the medial cuneiform
Afterwards a Lisfranc screw" was placed from the medial side of medial cuneiform
towards the base of the second metatarsal along with the Lisfranc ligament.
Greater than 2mm spacing between the second metatarsal and medial cuneiform
or the second and first metatarsal on anteroposterior radiographs suggests instability (Figure 8).
18) It may articulate with the medial cuneiform
or be attached to the first metatarsal base.
The third screw was placed from the first metatarsal laterally through the second and third metatarsals, while a fourth was placed from the medial cuneiform
through the first and into the second metatarsal.
There was point tenderness over the base of the second metatarsal extending to its articulation with the medial cuneiform
of the right foot, more pronounced dorsally than plantarly.
Weight-bearing plain radiographs of the right foot showed no acute fracture or subluxation, but they did reveal a bipartite medial cuneiform