The cuboid-metatarsal ligaments connect the cuboid to the fourth and fifth metatarsal bases, providing the dorsal, plantar, and interosseous constraints of the lateral TMT joints.
Stabilise the fourth and fifth TMT joints, allow the increased mobility of the lateral column for terrain adaptation, and resist excessive dorsal or plantar displacement of the lateral metatarsals.
Cuboid-metatarsal ligament disruption in lateral column Lisfranc injuries requires assessment — isolated lateral column instability (fourth and fifth TMT) may be managed with closed reduction and casting while medial column injuries generally require surgical fixation.
Fourth and fifth TMT ligament disruption as the lateral component of Lisfranc injury, managed by reduction and fixation when associated with medial column instability or when isolated instability persists after casting.
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