The intercuneiform ligaments connect the adjacent cuneiform bones, stabilising the medial tarsal arch. The interosseous intercuneiform ligaments are strongest and most important.
Maintain the medial transverse arch by binding the three cuneiform bones together, resist midfoot splay, and provide the ligamentous basis for the rigid medial column.
Intercuneiform instability accompanies Lisfranc complex injuries. Isolated intercuneiform arthritis managed by selective arthrodesis.
Intercuneiform disruption accompanying Lisfranc injury requiring fixation of the cuneiform-cuneiform relationship in addition to TMT joint stabilisation.
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