The cuneonavicular joints connect the navicular to the three cuneiform bones, forming part of the midfoot stability complex. They are closely bound by strong dorsal and plantar cuneonavicular ligaments and allow minimal independent movement. Arthritic changes at these joints from rheumatoid arthritis or post-traumatic causes produce midfoot pain.
Cuneonavicular joint arthritis produces dorsal midfoot pain and tenderness reproduced by direct joint palpation, managed with stiff insoles and joint injection before considering arthrodesis of the medial column.
Medial midfoot joint degeneration producing dorsal pain managed with orthotics and occasionally medial column arthrodesis.
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