Relationship between insertions of the tibialis anterior and peroneus longus and first tarsometatarsal joint degeneration

Abstract Background The purpose of this study was to clarify the relationships of the tibialis anterior tendon (TAT) and peroneus longus tendon (PLT) with articular cartilage degeneration on the medial cuneiform and first metatarsal. Methods We examined 100 feet from 50 Japanese cadavers. The TAT wa...

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Main Authors: Kodai Sakamoto, Mutsuaki Edama, Tomoki Hirai, Hirotake Yokota, Ryo Hirabayashi, Chie Sekine, Tomonobu Ishigaki, Makoto Komiya, Taku Toriumi, Ikuo Kageyama
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Musculoskeletal Disorders
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Online Access:https://doi.org/10.1186/s12891-025-08319-2
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author Kodai Sakamoto
Mutsuaki Edama
Tomoki Hirai
Hirotake Yokota
Ryo Hirabayashi
Chie Sekine
Tomonobu Ishigaki
Makoto Komiya
Taku Toriumi
Ikuo Kageyama
author_facet Kodai Sakamoto
Mutsuaki Edama
Tomoki Hirai
Hirotake Yokota
Ryo Hirabayashi
Chie Sekine
Tomonobu Ishigaki
Makoto Komiya
Taku Toriumi
Ikuo Kageyama
author_sort Kodai Sakamoto
collection DOAJ
description Abstract Background The purpose of this study was to clarify the relationships of the tibialis anterior tendon (TAT) and peroneus longus tendon (PLT) with articular cartilage degeneration on the medial cuneiform and first metatarsal. Methods We examined 100 feet from 50 Japanese cadavers. The TAT was classified into 4 types based on attachment site area and number of fiber bundles: Type I, two fiber bundles with equal (within 20%) attachment site areas on the first metatarsal and medial cuneiform; Type II, with two fiber bundles and a larger (>20%) attachment site area on the medial cuneiform than on the first metatarsal; Type III, with two fiber bundles and a larger (>20%) attachment site area on the first metatarsal than on the medial cuneiform; and Type IV, with three fiber bundles. The PLT was classified into 2 types, following previous studies: Type I, insertion only to the base of the first metatarsal; Type II, insertion to the medial cuneiform and first metatarsal. The severity of articular cartilage degeneration was assessed in five stages using the International Cartilage Repair Society scale. Results No significant difference in severity of articular cartilage degeneration was evident among types of TAT and PLT. Conclusion Our results suggested that anatomical variations in the TAT and PLT might not affect joint stability, indicating that strengthening of these muscles could potentially enhance stability regardless of morphological variations in the insertions.
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spelling doaj-art-fc6a4eb342114b2f9d13859ef1276ca72025-01-26T12:10:12ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-012611610.1186/s12891-025-08319-2Relationship between insertions of the tibialis anterior and peroneus longus and first tarsometatarsal joint degenerationKodai Sakamoto0Mutsuaki Edama1Tomoki Hirai2Hirotake Yokota3Ryo Hirabayashi4Chie Sekine5Tomonobu Ishigaki6Makoto Komiya7Taku Toriumi8Ikuo Kageyama9Institute for Human Movement and Medical Sciences, Niigata University of Health and WelfareInstitute for Human Movement and Medical Sciences, Niigata University of Health and WelfareInstitute for Human Movement and Medical Sciences, Niigata University of Health and WelfareInstitute for Human Movement and Medical Sciences, Niigata University of Health and WelfareInstitute for Human Movement and Medical Sciences, Niigata University of Health and WelfareInstitute for Human Movement and Medical Sciences, Niigata University of Health and WelfareInstitute for Human Movement and Medical Sciences, Niigata University of Health and WelfareInstitute for Human Movement and Medical Sciences, Niigata University of Health and WelfareDepartment of Anatomy, School of Life Dentistry at Niigata, Nippon Dental UniversityDepartment of Anatomy, School of Life Dentistry at Niigata, Nippon Dental UniversityAbstract Background The purpose of this study was to clarify the relationships of the tibialis anterior tendon (TAT) and peroneus longus tendon (PLT) with articular cartilage degeneration on the medial cuneiform and first metatarsal. Methods We examined 100 feet from 50 Japanese cadavers. The TAT was classified into 4 types based on attachment site area and number of fiber bundles: Type I, two fiber bundles with equal (within 20%) attachment site areas on the first metatarsal and medial cuneiform; Type II, with two fiber bundles and a larger (>20%) attachment site area on the medial cuneiform than on the first metatarsal; Type III, with two fiber bundles and a larger (>20%) attachment site area on the first metatarsal than on the medial cuneiform; and Type IV, with three fiber bundles. The PLT was classified into 2 types, following previous studies: Type I, insertion only to the base of the first metatarsal; Type II, insertion to the medial cuneiform and first metatarsal. The severity of articular cartilage degeneration was assessed in five stages using the International Cartilage Repair Society scale. Results No significant difference in severity of articular cartilage degeneration was evident among types of TAT and PLT. Conclusion Our results suggested that anatomical variations in the TAT and PLT might not affect joint stability, indicating that strengthening of these muscles could potentially enhance stability regardless of morphological variations in the insertions.https://doi.org/10.1186/s12891-025-08319-2Foot jointOsteoarthritisTibialis anteriorPeroneus longus
spellingShingle Kodai Sakamoto
Mutsuaki Edama
Tomoki Hirai
Hirotake Yokota
Ryo Hirabayashi
Chie Sekine
Tomonobu Ishigaki
Makoto Komiya
Taku Toriumi
Ikuo Kageyama
Relationship between insertions of the tibialis anterior and peroneus longus and first tarsometatarsal joint degeneration
BMC Musculoskeletal Disorders
Foot joint
Osteoarthritis
Tibialis anterior
Peroneus longus
title Relationship between insertions of the tibialis anterior and peroneus longus and first tarsometatarsal joint degeneration
title_full Relationship between insertions of the tibialis anterior and peroneus longus and first tarsometatarsal joint degeneration
title_fullStr Relationship between insertions of the tibialis anterior and peroneus longus and first tarsometatarsal joint degeneration
title_full_unstemmed Relationship between insertions of the tibialis anterior and peroneus longus and first tarsometatarsal joint degeneration
title_short Relationship between insertions of the tibialis anterior and peroneus longus and first tarsometatarsal joint degeneration
title_sort relationship between insertions of the tibialis anterior and peroneus longus and first tarsometatarsal joint degeneration
topic Foot joint
Osteoarthritis
Tibialis anterior
Peroneus longus
url https://doi.org/10.1186/s12891-025-08319-2
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