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Home › Body Atlas › Bones › Lateral Cuneiform
Bone Foot & Ankle

Lateral Cuneiform

os cuneiforme laterale

The lateral cuneiform articulates with the intermediate cuneiform, cuboid, navicular, and the second and third metatarsals, completing the middle column of the midfoot and providing attachment for several peroneal and extensor tendons.

Anatomical Data

Structure & Landmarks

Articulations
  • Navicular posteriorly
  • Third metatarsal anteriorly
  • Intermediate cuneiform medially
  • Cuboid laterally
  • Fourth metatarsal (occasional)
Landmarks
  • Rectangular lateral surface
  • Articular facets for surrounding bones
OssificationEndochondral ossification from a single centre appearing at age 1.
Clinical Relevance

Clinical Notes

The lateral cuneiform is intermediate in size between the medial and intermediate cuneiforms and forms the lateral boundary of the central Lisfranc joint. Fractures of the lateral cuneiform typically occur as part of Lisfranc complex injuries and are assessed on weight-bearing radiographs and CT for displacement and instability.

Pathology

Common Injuries & Conditions

Lisfranc Injury

Lateral column tarsometatarsal injuries can involve the lateral cuneiform and its joint with the third metatarsal.

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