Medial cuneiform to second metatarsal distance

Changed by Calum Worsley, 14 Jan 2022

Updates to Article Attributes

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Medial cuneiform to second metatarsal distance is the measurement of the distance between the lateral aspect of the medial cuneiform and the medial aspect of the base of the second metatarsal bone 1,2.

Usage

Medial cuneiform to second metatarsal distance is an important measurement used in assessing the integrity of the midfoot and is increased in Lisfranc/tarsometatarsal injuries 2,3.

Measurement

Medial cuneiform to second metatarsal distance is measured on the DP (dorsoplantar) foot radiographs. It is measured by the distance between the lateral aspect of the medial cuneiform and the medial aspect of the base of the second metatarsal bone 1,2.

Interpretation

Practical points

  • the medial cuneiform to second metatarsal distance can vary in pediatric patients and approachapproaches the normal adult values after 6 years of age 2.
  • Beforebefore 6 years, it can vary from 3 to 7.5 mm 2.
  • -<p><strong>Medial cuneiform to second metatarsal distance</strong> is the measurement of the distance between the lateral aspect of the medial cuneiform and the medial aspect of the base of the second metatarsal bone <sup>1</sup><sup>,2</sup>.</p><h4><strong>Usage</strong></h4><p>Medial cuneiform to second metatarsal distance is an important measurement used in assessing the integrity of the midfoot and is increased in Lisfranc/tarsometatarsal injuries <sup>2,3</sup>.</p><h4>Measurement</h4><p>Medial cuneiform to second metatarsal distance is measured on the DP (<a href="/articles/foot-dorsoplantar-view">dorsoplantar</a>) foot radiographs. It is measured by the distance between the lateral aspect of the medial cuneiform and the medial aspect of the base of the second metatarsal bone <sup>1</sup><sup>,2</sup>.</p><h4>Interpretation</h4><ul><li>normal values <sup>1,2</sup><ul><li>&lt;2-2.5 mm on <a href="/articles/foot-dorsoplantar-view">dorsoplantar foot</a> radiographs</li></ul>
  • +<p><strong>Medial cuneiform to second metatarsal distance</strong> is the measurement of the distance between the lateral aspect of the medial cuneiform and the medial aspect of the base of the second metatarsal bone <sup>1</sup><sup>,2</sup>.</p><h4><strong>Usage</strong></h4><p>Medial cuneiform to second metatarsal distance is an important measurement used in assessing the integrity of the midfoot and is increased in <a title="Lisfranc injury" href="/articles/lisfranc-injury">Lisfranc</a>/tarsometatarsal injuries <sup>2,3</sup>.</p><h4>Measurement</h4><p>Medial cuneiform to second metatarsal distance is measured on the DP (<a href="/articles/foot-dorsoplantar-view">dorsoplantar</a>) foot radiographs. It is measured by the distance between the lateral aspect of the <a title="Medial cuneiform" href="/articles/medial-cuneiform">medial cuneiform</a> and the medial aspect of the base of the second <a title="Metatarsal bone" href="/articles/metatarsals">metatarsal bone</a> <sup>1</sup><sup>,2</sup>.</p><h4>Interpretation</h4><ul><li>normal values <sup>1,2</sup><ul><li>&lt;2-2.5 mm on <a href="/articles/foot-dorsoplantar-view">dorsoplantar foot</a> radiographs</li></ul>
  • -<li>the medial cuneiform to second metatarsal distance can vary in pediatric patients and approach the normal adult values after 6 years of age <sup>2</sup>.</li>
  • -<li>Before 6 years, it can vary from 3 to 7.5 mm <sup>2</sup>.</li>
  • +<li>the medial cuneiform to second metatarsal distance can vary in pediatric patients and approaches the normal adult values after 6 years of age <sup>2</sup>
  • +</li>
  • +<li>before 6 years, it can vary from 3 to 7.5 mm <sup>2</sup>
  • +</li>

References changed:

  • 1. Lau B, Allahabadi S, Palanca A, Oji D. Understanding Radiographic Measurements Used in Foot and Ankle Surgery. J Am Acad Orthop Surg. 2022;30(2):e139-54. <a href="https://doi.org/10.5435/JAAOS-D-20-00189">doi:10.5435/JAAOS-D-20-00189</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/34768261">Pubmed</a>
  • 1. Lau B, Allahabadi S, Palanca A, Oji D. Understanding Radiographic Measurements Used in Foot and Ankle Surgery. J Am Acad Orthop Surg. 2021;30(2):e139-54. <a href="https://doi.org/10.5435/jaaos-d-20-00189">doi:10.5435/jaaos-d-20-00189</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/34768261">Pubmed</a>
Images Changes:

Image 1 Annotated image (Frontal: magnified) ( update )

Caption was changed:
Case 1: normal measurement

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