[The intermetatarsal transverse ligaments and their connections with the tarsometatarsal articulations].
The authors have performed 20 systematical dissections of the distal part of the foot, conserved in the Toulon's liquor and 3 dissections of fresh cadavers. The last ones have been submitted at different puttings in charge before and after the resection of the intermetatarsal transverse ligament. The intermetatarsal transverse ligament is supple, extensible, but very strong. It constitutes the area of convergence of all the neighbouring fibrous structures and of several tendons of the foot. It connects together the heads of the metatarsus. It renders them jointly liable and its action is reflected above. By its modulating of the convergence of the metatarsus and their necessary associated palmar inclination, by its limitation of their divergence in relation with their dorsal inclination, it modulates and it limits the amplitude of the tarsometatarsal joints. It is helped for that by the little intermetatarsal transverse ligaments, whose the presence has been always confirmed. The metatarsus varus, very frequently associated with the hall valgus, means the escape of the first ray from the effect of the transverse intermetatarsal ligament.
Kuhlmann
J N
JN
Service d'orthopédie, de traumatologie, de chirurgie plastique et esthétique, Hôpital Rothschild, Paris.
Guerin-Surville
H
H
Baux
S
S
D001696:Biomechanical Phenomena; D006215:Hallux Valgus / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008023:Ligaments, Articular / Q000033:anatomy & histology* / Q000502:physiology; D009068:Movement / Q000502:physiology; D013640:Tarsal Joints / Q000033:anatomy & histology* / Q000502:physiology
Les ligaments transverses intermétatarsiens et leurs relations avec les articulations tarsométatarsiennes.