The
metatarsus or
metatarsal bones are a group of five
long boneThe long bones are those that are longer than they are wide. They are one of five types of bones: long, short, flat, irregular and sesamoid. Long bones, especially the femur and tibia, are subjected to most of the load during daily activities and they are crucial for skeletal mobility. They grow...
s in the
footThe foot is an anatomical structure found in many vertebrates. It is the terminal portion of a limb which bears weight and allows locomotion. In many animals with feet, the foot is a separate organ at the terminal part of the leg made up of one or more segments or bones, generally including claws...
located between the
tarsal bonesIn tetrapods, the tarsus is a cluster of articulating bones in each foot situated between the lower end of tibia and fibula of the lower leg and the metatarsus. In the foot the tarsus articulates with the bones of the metatarsus, which in turn articulate with the bones of the individual toes...
of the hind- and mid-foot and the
phalangesThe Olphalanges of the foot are the bones in the toes. They correspond, in number and general arrangement, with those of the hand; there are two in the big toe, and three in each of the other toes...
of the toes. Lacking individual names, the metatarsal bones are numbered from the
medialStandard anatomical terms of location are designations employed in science that deal with the anatomy of animals to avoid ambiguities that might otherwise arise. They are not language-specific, and thus require no translation...
side (side of big toe): the
firstThe first metatarsal bone is the bone in the body of the foot just behind the big toe.It is remarkable for its great thickness, and is the shortest of the metatarsal bones.The body is strong, and of well-marked prismoid form....
,
secondThe 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....
,
thirdThe third metatarsal bone articulates proximally, by means of a triangular smooth surface, with the third cuneiform; medially, by two facets, with the second metatarsal; and laterally, by a single facet, with the fourth metatarsal....
,
fourthThe fourth metatarsal bone is smaller in size than the third; its base presents an oblique quadrilateral surface for articulation with the cuboid; a smooth facet on the medial side, divided by a ridge into an anterior portion for articulation with the third metatarsal, and a posterior portion for...
, and
fifth metatarsalThe fifth metatarsal bone is recognized by a rough eminence, the tuberosity, on the lateral side of its base.The base articulates behind, by a triangular surface cut obliquely in a transverse direction, with the cuboid; and medially, with the fourth metatarsal.On the medial part of its dorsal...
. The metatarsals are analogous to the
metacarpal bones of the
handA hand is a prehensile, multi-fingered extremity located at the end of an arm or forelimb of primates such as humans, chimpanzees, monkeys, and lemurs...
.
Common characteristics
The five metatarsals are dorsally convex long bones that are located in the fingers and/or the toes consisting of a shaft or body, a base, and a head.
The body is prismoid in form, tapers gradually from the
tarsalIn tetrapods, the tarsus is a cluster of articulating bones in each foot situated between the lower end of tibia and fibula of the lower leg and the metatarsus. In the foot the tarsus articulates with the bones of the metatarsus, which in turn articulate with the bones of the individual toes...
to the
phalangealIn anatomy, phalanx bones are those that form the fingers and toes. In primates such as humans and monkeys, the thumb and big toe have two phalanges, while the other fingers and toes consist of three. Phalanges are classified as long bones.The phalanges do not have individual names...
extremity, and is curved longitudinally, so as to be concave below, slightly convex above. The base or posterior extremity is
wedgeWedge may refer to:Mathematics:* Triangular prism, a parallel triangle wedge* Wedge , a polyhedral solid defined by two triangles and three trapezoid faces* Wedge product, a mathematical term, named for the ∧ operator symbol used...
-shaped, articulating proximally with the tarsal bones, and by its sides with the contiguous metatarsal bones: its
dorsalIn anatomy, the dorsum is the upper side of animals that typically run, fly, or swim in a horizontal position, and the back side of animals that walk upright. In vertebrates the dorsum contains the backbone. The term dorsal refers to anatomical structures that are either situated toward or grow...
and plantar surfaces are rough for the attachment of
ligamentIn anatomy, the term ligament is used to denote any of three types of structures. Most commonly, it refers to fibrous tissue that connects bones to other bones and is also known as articular ligament, articular larua, fibrous ligament, or true ligament.Ligament can also refer to:* Peritoneal...
s. The head or anterior extremity presents a convex articular surface, oblong from above downward, and extending farther backward below than above. Its sides are flattened, and on each is a depression, surmounted by a tubercle, for ligamentous attachment. Its plantar surface is grooved antero-posteriorly for the passage of the flexor
tendonA tendon is a tough band of fibrous connective tissue that usually connects muscle to bone and is capable of withstanding tension. Tendons are similar to ligaments and fasciae as they are all made of collagen except that ligaments join one bone to another bone, and fasciae connect muscles to other...
s, and marked on either side by an articular eminence continuous with the terminal articular surface.
Articulations
The base of each metatarsal bone articulates with one or more of the tarsal bones at the tarsometatarsal joints, and the head with one of the first row of phalanges at the metatarsophalangeal joints. Their bases also articulates with each others at the
intermetatarsal jointsIntermetatarsal Articulations - The base of the first metatarsal is not connected with that of the second by any ligaments; in this respect the great toe resembles the thumb....
- The first metatarsal articulates with the medial cuneiform
The medial cuneiform is the largest of the cuneiforms.It is situated at the medial side of the foot, anterior to the navicular and posterior to the base of the first metatarsal....
, and to a small extent to the intermediate cuneiformThe intermediate cuneiform is shaped like a wedge, the thin end pointing downwards....
.
- the second with all three cuneiforms.
- the third with the lateral cuneiform
The lateral cuneiform intermediate in size between the other two cuneiform bones, is also wedge-shaped, the base being uppermost....
.
- the fourth with the lateral cuneiform and the cuboid.
- The fifth with the cuboid.
Injuries
The metatarsal bones are often broken by football players. These and other recent cases have been attributed to the modern lightweight design of
football bootFootball boots, called cleats or soccer shoes in North America, are an item of footwear worn when playing association football. Those designed for grass pitches have studs on the bottom to aid grip...
s, which give less protection to the foot. In 2010 some footballers began trialling a new sock that incorporated a rubber silicon pad over the foot to provide protection to the top of the foot.
The metatarsal bone injury gained notoriety with soccer fans when the then
Deportivo La CoruñaReal Club Deportivo de La Coruña is a professional football club based in the city of A Coruña, Galicia; founded in 1906 and currently playing in Segunda División...
midfielder
Aldo DuscherÁlvaro 'Aldo' Pedro Duscher is an Argentine footballer who plays for Barcelona Sporting Club in Ecuador, as a defensive midfielder....
made a strong tackle on
David BeckhamDavid Robert Joseph Beckham, OBE is an English footballer who plays midfield for Los Angeles Galaxy in Major League Soccer, having previously played for Manchester United, Preston North End, Real Madrid, and A.C...
breaking his second metatarsal bone and his participation in the
2002 World CupThe 2002 FIFA World Cup was the 17th staging of the FIFA World Cup, held in South Korea and Japan from 31 May to 30 June. It was also the first World Cup held in Asia, and the last in which the golden goal rule was implemented. Brazil won the tournament for a record fifth time, beating Germany 2–0...
became doubtful. Beckham eventually made it to the England 2002 World Cup squad. Since then,
Wayne RooneyWayne Mark Rooney is an English footballer who plays as a striker for Premier League club Manchester United and the England national team...
,
Steven GerrardSteven George Gerrard MBE is an English footballer who plays for and captains Premier League club Liverpool. He also has 89 caps for the England national team. He has played much of his career in a centre midfielder role, but he has also been used as a second striker and right winger...
,
Roy KeaneRoy Maurice Keane is an Irish former footballer and manager. In his 18-year playing career, he played for Cobh Ramblers in the League of Ireland, Nottingham Forest and Manchester United, before ending his career at Celtic in Scotland....
,
Xabi AlonsoXabier "Xabi" Alonso Olano is a Spanish World Cup-winning footballer who plays for Real Madrid as a midfielder.Alonso began his career at Real Sociedad, the main team of his home region Gipuzkoa. After a brief loan period at Eibar he returned to Sociedad where then manager John Toshack appointed...
and
Michael OwenMichael James Owen is an English professional footballer who plays as a striker for Manchester United.The son of former footballer Terry Owen, Owen began his senior career at Liverpool in 1996. He progressed through the Liverpool youth team and scored on his debut in May 1997...
have gone down the same road alongside many others.
Stress fractures are thought to account for 16% of injuries related to sports preparation, and the metatarsals are most often involved. These fractures are commonly called march fractures, as they were commonly diagnosed among military recruits after long marches. The second and third metatarsals are fixed while walking, thus these metatarsals are common sites of injury. The fifth metatarsal may be fractured if the foot is
oversupinatedSupination is a position of either the forearm or foot; in the forearm when the palm faces anteriorly, or faces up . Supination in the foot occurs when a person appears "bow-legged" with their weight supported primarily on the anterior of their feet.The hand is supine in the anatomical position...
during locomotion.
Protection
safety footwear is available with built in metatarsal guards, however removable metatarsal guards are also available.
See also