Second metatarsal bone
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| Bone: Second metatarsal bone | |
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| The second metatarsal. (Left.) | |
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| Bones of the right foot. Dorsal surface. | |
| Latin | os metatarsale II |
| Gray's | subject #64 273 |
The second metatarsal bone is the longest of the metatarsal bones, being prolonged backward into the recess formed by the three cuneiform bones.
Its base is broad above, narrow and rough below.
It presents four articular surfaces: one behind, of a triangular form, for articulation with the second cuneiform; one at the upper part of its medial surface, for articulation with the first cuneiform; and two on its lateral surface, an upper and lower, separated by a rough non-articular interval.
Each of these lateral articular surfaces is divided into two by a vertical ridge; the two anterior facets articulate with the third metatarsal; the two posterior (sometimes continuous) with the third cuneiform.
A fifth facet is occasionally present for articulation with the first metatarsal; it is oval in shape, and is situated on the medial side of the body near the base.
The second metatarsal base acts as a "keystone (architecture)" (like in an arch) for the lisfranc joint.
The base of the metatarsal is held firmly between the 1st & 3rd cuneiform.
Injuries
The Beckham bone is a name attributed by British journalists to the second metatarsal.
David Beckham, while playing for Manchester United against Deportivo La Coruña in a UEFA Champions League quarter-final game in 2002, was subject to a tackle from Argentina's Aldo Duscher. (A lot of acrimony had existed between David Beckham and Argentina since David Beckham's sending off in the 1998 World Cup). This tackle broke the second metatarsal in his left foot and seriously threatened England's chances in the 2002 World Cup. David Beckham was the media darling at the time, and the bone (and the tackle) received a wave of publicity; subsequently, the name "Beckham bone" was born.
Since then, other notable football superstars including, Gary Neville, Danny Murphy, Michael Owen, Gael Clichy, Ashley Cole, Ledley King, Mikael Silvestre and Lionel Messi have suffered fractures to the same 2nd metatarsal bone.
Additional images
 X-ray of foot, showing phalangeal fracture |
This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
