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Journal articles on the topic 'Cuneiform'

Author: Grafiati

Published: 4 June 2021

Last updated: 29 January 2023

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1

Sanicola, Shawn M., Thomas B. Arnold, and Lawrence Osher. "Is the Radiographic Appearance of the Hallucal Tarsometatarsal Joint Representative of Its True Anatomical Structure?" Journal of the American Podiatric Medical Association 92, no. 9 (October 1, 2002): 491–98. http://dx.doi.org/10.7547/87507315-92-9-491.

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The medial cuneiforms and first metatarsals were identified in 515 randomly selected specimens at the Hamman-Todd osteology collection in the Cleveland Museum of Natural History in Cleveland, Ohio, and the transverse plane angulation of the hallucal tarsometatarsal joint was determined by direct measurement of the selected bones. Medial cuneiforms were subsequently separated into three categories corresponding to the amount of measured obliquity. The first tarsometatarsal joint was reassembled, and the paired medial cuneiforms and first metatarsals were radiographed at different declination angles in inverted, everted, and rectus positions. Radiographic evaluation revealed discordance between the appearance of atavism and true atavism in the cuneiform. Specifically, it was determined that the position of the hallucal tarsometatarsal joint significantly influenced the appearance of atavism in the cuneiform. It is concluded that the position of the first ray in an anteroposterior radiograph can produce the appearance of an increased obliquity angle of the medial cuneiform, resulting in an inaccurate representation of the hallucal tarsometatarsal joint. (J Am Podiatr Med Assoc 92(9): 491-498, 2002)

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2

Shamsudin, Z., MN Abdull Sitar, A. Alias, and AR Ahmad. "TRAUMATIC DORSAL DISLOCATION OF INTERMEDIATE CUNEIFORM : A RARE MIDFOOT INJURY." Orthopaedic Journal of Sports Medicine 8, no. 5_suppl5 (May 1, 2020): 2325967120S0004. http://dx.doi.org/10.1177/2325967120s00040.

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Dislocation of the intermediate cuneiform is a rare injury, and only a few cases have been reported .Cuneiforms dislocations have been treated in a variety of methods, ranging from open or closed reduction, without or with fixation such as Krischner wires or screws. Methods: A 24 years old female presented with right foot pain following fall from motorbike after got hit by a car from back. She related a history that her right foot was forced into torsion and plantarflexion at impact . On examination there was a bony protuberance on the dorsal surface, at cuneiform area . Radiograph showed dorsal dislocation of intermediate cuneiform. CT scan was performed and supported the radiographical findings. Manipulation under sedation was attempted, but was unsuccessful. Results: Patient was placed supine under spinal anesthesia . A dorsal incision was made centering over the protuberance proceeded distally up to the base of the second-metatarsal. The dislocated middle cuneiform was identified. There was proximal soft tissue attachment to the middle cuneiform which was carefully preserved. It temporarily reduced with Krishner wires and a 2.7 mm variable angle locking plate was fixed dorsally to butress the bone dislocation . The foot was immobilized with a boot slab for 6 weeks and subsequently physiotherapy was instituted and gradual weight-bearing started. Postoperative follow-up was uneventful. Discussion: Intermediate cuneiform is a part of the transverse and medial longitudinal arches of the foot and the stability is achieved by the deep transverse, dorsal, and plantar ligaments. It’s shaped like a wedge, the thin end pointing downwards, situated between medial and lateral cuneiforms, and articulates with the navicular posteriorly, the second metatarsal anteriorly and with the other cuneiforms on either side. Because it is wedge shaped and positioned dorsally, it has a tendency to dislocate dorsally, particularly when a plantar flexion force is applied to the midfoot. Immediate reduction and maintaining in reduced position is needed for good ligamentous healing. Conclusion: Intermediate cuneiform dislocation is a rare injury to encounter due to stable articulation of joints and ligament. Significant trauma is required for these injuries to take place. Open reduction is the gold standard treatment for these injuries. References: Kumaravel S et al An isolated middle cuneiform dislocation with a rare violence Journal of clinical orthopaedic and trauma 5 (2014) 161-171 Name

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3

Dellacorte, MP, PJ Lin, and PJ Grisafi. "Bilateral bipartite medial cuneiform. A case report." Journal of the American Podiatric Medical Association 82, no. 9 (September 1, 1992): 475–78. http://dx.doi.org/10.7547/87507315-82-9-475.

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A fracture to the intermediate cuneiform that was not definitively detected on routine radiographs because of the overlap of the cuneiform was presented. Weightbearing x-rays did not provide additional information. The anatomical location of the fracture was identified only after a computed tomography scan was performed. An incidental finding, bilateral bipartite medial cuneiforms, was also observed on the computed tomography scan, which contributed to the overlap on routine radiographs. The anatomy of the bipartite medial cuneiforms seen on computed tomography was similar to that described by Barlow in 1942. Retrospective comparison to the initial radiographs with the computed tomography scan sections did reveal bipartite medial cuneiforms on these films as well. The podiatric physician should keep bipartition in mind when evaluating x-rays for any osseous pathology, especially fractures.

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4

Justel Vicente, Josué Javier. "La Historia social aplicada a la antigua Mesopotamia: cambios historiográficos y nuevas vías de investigación." Panta Rei. 14, no. 2 (October 16, 2020): 9–21. http://dx.doi.org/10.6018/pantarei.445361.

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La presente contribución pretende revisar de qué manera la Historia Social, entendida como corriente historiográfica, ha penetrado en el mundo de los estudios cuneiformes y en la Historia de Mesopotamia. De esta manera, se ha realizado una exhaustiva revisión de la bibliografía disponible, sobre todo la referida a los veinticinco últimos años. El resultado principal es que esta tendencia historiográfica ha sido fructífera para el estudio del mundo cuneiforme, si bien dependiendo de periodos y temas ha tenido desigual fortuna. Además, se proporciona una visión (personal) de las líneas de investigación que, en el futuro, podrían seguir desarrollándose en el marco de la Historia Social de la antigua Mesopotamia. This contribution aims at revising how social history, understood as a historiographical current, has entered the world of cuneiform studies and the history of Mesopotamia. A thorough review of all the available literature has been carried out, especially those studies published during the last twenty-five years. The main outcome is that this historiographical trend has been rather fruitful within the framework of cuneiform studies – yet with unequal results, depending on periods and topics. Finally, a (personal) vision is offered of the areas of research that, in future, may be further developed in the context of the social history of ancient Mesopotamia.

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5

Shah, Kalpesh, and Anders Odgaard. "Fracture of the Lateral Cuneiform Only." Journal of the American Podiatric Medical Association 97, no. 6 (November 1, 2007): 483–85. http://dx.doi.org/10.7547/0970483.

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The three (medial, intermediate, and lateral) cuneiforms and their articulations in the foot are small and relatively well protected from injury. An isolated fracture of the lateral cuneiform is a rare finding. However, isolated injuries may occur as the result of direct trauma. We report a case of an isolated fracture of the lateral cuneiform that was not seen on initial radiographs and only became evident on plain radiographs 4 weeks after the injury. As each of the cuneiform bones articulates with four other bones in the midpart of the foot, persistent displacement of any fracture (subluxation or dislocation) may result in post-traumatic arthritis. We believe that in suspected cases with negative radiographic findings, further imaging (computed tomography or bone scanning) should be requested. Without the use of additional imaging techniques, many fractures may be misdiagnosed as ankle sprains or foot contusions, and patients may be discharged from the hospital. (J Am Podiatr Med Assoc 97(6): 483–485, 2007)

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6

K., S. A., and C. B. F. Walker. "Cuneiform." Journal of the American Oriental Society 110, no. 1 (January 1990): 161. http://dx.doi.org/10.2307/603965.

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7

Johnson, Alexander J., and Eric Gokcen. "Tarsal Coalition of the Cuneiforms in an Elite Athlete: A Case Report." Foot & Ankle Orthopaedics 4, no. 4 (October 1, 2019): 2473011419S0023. http://dx.doi.org/10.1177/2473011419s00233.

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Category: Midfoot/Forefoot, Sports Introduction/Purpose: Tarsal coalitions are a relatively common, often asymptomatic disorder with an incidence of 1-6% in clinical studies and 11-13% in cadaver studies. Calcaneonavicular, followed by talonavicular, are the most common forms of coalitions, but a variety of other coalitions have been described in radiographic, anatomic, and clinical literature. Despite the varied research that has focused on the topic in recent decades, there are no identified reports of cuneiform to cuneiform coalition in the literature. Methods: The authors present the unique case of medial and intermediate cuneiform coalition in a young female track athlete. A 19 year old female Division 1 hurdler presented with 1 year of atraumatic midfoot pain limiting her ability to compete. Despite evaluation by multiple orthopedic surgeons, the etiology of the pain was undetermined, and she had failed multiple conservative treatment options. Her exam revealed diffuse midfoot tenderness and increased midfoot pain with twisting motion. MRI and CT evaluation showed coalition between medial and intermediate cuneiforms with early degenerative changes. Ultrasound guided injection in this area resulted in relief of symptoms, confirming the diagnosis. The patient underwent coalition release and medial- intermediate cuneiform arthrodesis. Results: Postoperatively the patient underwent a period of nonweightbearing then progressed back to activity. CT scan confirmed solid arthrodesis and she was cleared to return to track competition. She successfully returned to competitive collegiate hurdling 11 months after surgery while noting only occasional discomfort in the foot. Conclusion: With no previous reports identified in the literature, cuneiform to cuneiform coalitions are a rare clinical entity. It is likely that the patient in the current case experienced symptoms related to this pathology because of her high level athletic participation. After failing conservative management, the patient experienced a good outcome after coalition release and arthrodesis. Although it is likely that patients with similar pathology who fail conservative management may expect similarly positive outcomes, review of future cases will help further define the optimal treatment for this condition.

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8

Choi, Jun Young, Dong Joo Lee, Reuben Ngissah, Bum Joon Nam, and Jin Soo Suh. "Categorization of single cuneiform fractures and investigation of related injuries: A 10-year retrospective study." Journal of Orthopaedic Surgery 27, no. 3 (August 18, 2019): 230949901986639. http://dx.doi.org/10.1177/2309499019866394.

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Purpose: The purpose of this study was to define the fracture type and investigate the injuries related to single medial, intermediate, or lateral cuneiform fracture. Methods: From January 2008 to December 2018, 30 consecutive patients (30 cases) who were treated in the single institution for the single cuneiform fractures were reviewed retrospectively. Each fracture was categorized by location and type (intra- or extra-articular avulsion, axial compression, and direct blow). We also investigated the related foot bone fractures or dislocations on the affected side. Results: Twenty-one, one, and eight cases with single medial, intermediate, and lateral cuneiform bone fractures, respectively, were identified. More than two-thirds of the single cuneiform fractures were observed in the medial cuneiform bone. The single medial cuneiform fracture was associated with various types of foot injuries including Lisfranc injury, naviculo-cuneiform joint dislocation, or calcaneo-cuboidal dislocation. Single lateral cuneiform fractures were more frequently observed than single intermediate cuneiform fractures. Conclusion: More than two-thirds of the single cuneiform fractures were observed in the medial cuneiform bone. Most intra-articular avulsion fractures were associated with high-energy trauma. Level of Evidence: 4

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9

Ouzounian, Tye J., and Michael J. Shereff. "In Vitro Determination of Midfoot Motion." Foot & Ankle 10, no. 3 (December 1989): 140–46. http://dx.doi.org/10.1177/107110078901000305.

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Midfoot motion was determined using an in vitro model. Ten fresh-frozen below-the-knee amputation specimens were instrumented by inserting reference pins into each of the bones of the hindfoot, midfoot and metatarsals. Dorsiflexion-plantar flexion and supination-pronation were simulated and the reference pin location in three dimensional space was determined. Comparing the location of the reference pins at each simulated position, motion was determined. Motion occurring through each articulation (dorsiflexion-plantar flexion/supination-pronation) in degrees was: talonavicular (7.0/17.7), calcaneocuboid (2.3/ 7.3), naviculo-medial cuneiform (5.0/7.3), naviculo-middle cuneiform (5.2/3.5), naviculo-lateral cuneiform (2.6/2.1), medial cuneiform-first metatarsal (3.5/1.5), middle cuneiform-second metatarsal (0.6/1.2), lateral cuneiform-third metatarsal (1.6/2.6), cuboid-fourth metatarsal (9.6/11.1), and cuboid-fifth metatarsal (10.2/9.0).

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10

Swerdlow, N. M., and O. Neugebauer. "Astronomical Cuneiform Texts." American Mathematical Monthly 93, no. 2 (February 1986): 135. http://dx.doi.org/10.2307/2322720.

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11

Green, M. W. "Archaic Uruk Cuneiform." American Journal of Archaeology 90, no. 4 (October 1986): 464. http://dx.doi.org/10.2307/506034.

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12

von Dassow, Eva. "Canaanite in Cuneiform." Journal of the American Oriental Society 124, no. 4 (October 2004): 641. http://dx.doi.org/10.2307/4132111.

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13

MIKJ, TAKAAKJ, TAKAO YAMAMURO, HIROKAZU IIDA, SHUICHI OHTA, and MASANORI OKA. "Naviculo-Cuneiform Coalition." Clinical Orthopaedics and Related Research &NA;, no. 196 (June 1985): 256???259. http://dx.doi.org/10.1097/00003086-198506000-00036.

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14

Akan, Burak, and Tugrul Yildirim. "Dorsal Dislocation of the Intermediate Cuneiform with a Medial Cuneiform Fracture: A Case Report and Review of the Literature." Case Reports in Orthopedics 2013 (2013): 1–3. http://dx.doi.org/10.1155/2013/238950.

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Dorsal dislocation of the intermediate cuneiform and isolated medial cuneiform fractures are rare injuries. In this report, we present a patient who sustained a dislocation of the intermediate cuneiform and describe predisposing factors and the treatment procedure.

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15

Crisostomo, C. Jay. "Language, Translation, and Commentary in Cuneiform Scribal Practice." Journal of Ancient Near Eastern History 5, no. 1-2 (October 25, 2018): 41–56. http://dx.doi.org/10.1515/janeh-2018-0005.

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AbstractCuneiform scholarly practices systematized an exploration of meaning potential. In cuneiform scholarship, knowledge making emerged from multiple scribal practices, most notably list-making, analogical reasoning, and translation. The present paper demonstrates how multilingualism stands at the core of cuneiform scholarly inquiry, enabling hermeneutical exploration of possibility and potential. Cuneiform scholarly practices of translation and analogical hermeneutics coupled with an understanding of the cuneiform writing system constituted a system analogous to the medieval artes grammaticae.

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16

Mortimer, J. Alexandra, Maryse Bouchard, Anna Acosta, and Vincent Mosca. "The Biplanar Effect of the Medial Cuneiform Osteotomy." Foot & Ankle Specialist 13, no. 3 (September 15, 2019): 250–57. http://dx.doi.org/10.1177/1938640019868061.

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Background. The “foot-CORA” (center of rotation of angulation) method confirms the medial cuneiform as the site of deformity in most forefoot/midfoot deformities and is therefore the ideal location to correct those deformities. It has been consistently observed intraoperatively by the senior author that there is a secondary, unintentional deformity created in the transverse plane when dorsiflexion and plantar flexion osteotomies of the medial cuneiform are performed to correct pronation and supination forefoot deformities, respectively. These effects may not be desirable. This biplanar effect of medial cuneiform osteotomies has been observed but not studied. The purpose of this study was to perform the 4 commonly used medial cuneiform osteotomy techniques on cadaveric feet to demonstrate their biplanar effects. Methods. Four formaldehyde preserved cadaveric feet were used to perform 4 techniques of medial cuneiform osteotomy: dorsiflexion plantar-based opening wedge, plantar flexion dorsal-based opening wedge, dorsiflexion dorsal-based closing wedge, and plantar flexion plantar-based closing wedge. Photographs and fluoroscopy were used to assess the angular changes in the sagittal and transverse planes. Angular measurements were made using OsiriX software on fluoroscopic images. Results. The medial cuneiform opening wedge osteotomies produced midfoot abduction in addition to the desired dorsiflexion and plantar flexion. The medial cuneiform closing wedge osteotomies produced midfoot adduction in addition to the desired dorsiflexion and plantar flexion. Conclusion. We confirm that intentional sagittal uniplanar osteotomies of the medial cuneiform create obligate biplanar effects. This is likely a result of tethering by ligaments and the joint capsules on the lateral border of the medial cuneiform. The obligate transverse plane effect can be used to one’s advantage or result in an undesired effect if not considered during surgical planning and execution. We propose a simple treatment algorithm for selecting the appropriate medial cuneiform osteotomy for forefoot/midfoot deformities. Levels of Evidence: Level V

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17

Li, Jin Feng, and Hong Hai Kuang. "The Similarity of Pattern Recognition between Inscriptions on Oracle Bones and Cuneiform." Advanced Materials Research 804 (September 2013): 248–50. http://dx.doi.org/10.4028/www.scientific.net/amr.804.248.

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The similartity of pattern recognition between inscriptions on oracle bones and cuneiform have been studied in the paper. Samples of inscriptions on oracle bones and cuneiform were taken into computer images.By analysis of inscriptions on oracle bones, and cuneiform ,a new arithmetic was chosed and a standard inflexion curve of word can be gotten. There are curves by the arithmetic in images. The standard inflexion curve of inscriptions on oracle bones and curves in cuneiform were compared.If both of curves look very similar,there is an arithmetic which can be used in pattern recognition of inscriptions on oracle bones and cuneiform .this work was supported by the fundamental research funds for the central universities (xdjk2010c053)

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18

Harlow, Ethan R., Ajit M. Vakharia, Mikhail Alexeev, and Shana Miskovsky. "Flexible Fixation Technique for Subtle Lisfranc Injuries." Video Journal of Sports Medicine 2, no. 1 (January 2022): 263502542110551. http://dx.doi.org/10.1177/26350254211055197.

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Background: Subtle Lisfranc injuries represent a primarily ligamentous Lisfranc complex injury involving the Lisfranc ligament and the medial and middle cuneiform ligaments. Static radiographic displacement or dynamic instability of the medial cuneiform and 2nd metatarsal typically warrants operative intervention to prevent chronic functional pain, allow for timely return-to-sport, and mitigate posttraumatic osteoarthritis. Flexible fixation techniques offer a unique solution to the issues seen with transarticular screws, plates, and arthrodesis for ligamentous Lisfranc injuries. Indications: We present the case of a 16-year-old female basketball player with a subtle Lisfranc injury sustained during practice. X-rays show isolated widening of the 1st and 2nd metatarsal bases and dynamic diastasis between the medial and middle cuneiforms. Magnetic resonance imaging (MRI) confirmed a rupture of the plantar Lisfranc ligament. After extensive discussion regarding treatment options, the patient and her family decided to proceed with surgical intervention using a suture anchor and button technique to restore stability to the Lisfranc ligament and intercuneiform complexes. Technique Description: A standardized dynamic examination under anesthesia identifies the extent of the injury. Exposure of the base of the 2nd metatarsal and medial cuneiform is performed. Reduction clamps are applied to restore the intercuneiform relationship and interval between the medial cuneiform and base of 2nd metatarsal. The suture anchor and button construct is placed using fluoroscopic guidance. A final dynamic examination is performed to confirm stability of the construct. Results: Biomechanical studies have shown that flexible fixation maintains physiologic motion about the Lisfranc articulations and has comparable stability to transarticular screws in cadaveric models of isolated Lisfranc ligament insufficiency. Clinical results are limited but demonstrate excellent postoperative functional outcome scores with very few fixation-related complications at 1 to 3 years. Discussion: Flexible fixation techniques for subtle Lisfranc injuries offer unique benefits to transarticular screws, plates, and arthrodesis. We highlight the appropriate evaluation of patients with a suspected subtle ligamentous Lisfranc injury, the surgical technique using a suture button and anchor construct, and review postoperative management and expected outcomes based on the present literature.

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Dencker, Tobias, Pablo Klinkisch, Stefan M. Maul, and Björn Ommer. "Deep learning of cuneiform sign detection with weak supervision using transliteration alignment." PLOS ONE 15, no. 12 (December 16, 2020): e0243039. http://dx.doi.org/10.1371/journal.pone.0243039.

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The cuneiform script provides a glimpse into our ancient history. However, reading age-old clay tablets is time-consuming and requires years of training. To simplify this process, we propose a deep-learning based sign detector that locates and classifies cuneiform signs in images of clay tablets. Deep learning requires large amounts of training data in the form of bounding boxes around cuneiform signs, which are not readily available and costly to obtain in the case of cuneiform script. To tackle this problem, we make use of existing transliterations, a sign-by-sign representation of the tablet content in Latin script. Since these do not provide sign localization, we propose a weakly supervised approach: We align tablet images with their corresponding transliterations to localize the transliterated signs in the tablet image, before using these localized signs in place of annotations to re-train the sign detector. A better sign detector in turn boosts the quality of the alignments. We combine these steps in an iterative process that enables training a cuneiform sign detector from transliterations only. While our method works weakly supervised, a small number of annotations further boost the performance of the cuneiform sign detector which we evaluate on a large collection of clay tablets from the Neo-Assyrian period. To enable experts to directly apply the sign detector in their study of cuneiform texts, we additionally provide a web application for the analysis of clay tablets with a trained cuneiform sign detector.

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20

Mason, Lyndon, Eric Swanton, Lauren Fisher, Andrew Fisher, and Andrew Molloy. "The Plantar Support of the Navicular-Cunieform Joint." Foot & Ankle Orthopaedics 3, no. 3 (July 1, 2018): 2473011418S0033. http://dx.doi.org/10.1177/2473011418s00338.

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Category: Midfoot/Forefoot Introduction/Purpose: Weight-bearing radiographic analysis of pes planus deformities shows, with varying degree of severity, a break in Meary’s line, uncovering of the talar head and an increase in talar-first metatarsal angle. Work by Alsousou (BOFAS 2016) has shown the break in Meary’s line to occur not only at the talonavicular joint (2/3rds of cases) but also at the navicular-cuneiform joint (1/3 rd of cases), distal to the spring ligament and reported posterior tibial tendon insertion. There are currently no anatomical studies analysing the medial longitudinal arch distal to the spring ligament insertion. We aimed to examine this area and assess the anatomy supporting the distal medial longitudinal arch. Methods: We examined 11 cadaveric lower limbs that had been preserved for dissection at the Human Anatomy and Resource Centre at Liverpool University, in a solution of formaldehyde. The lower limbs were carefully dissected to identify the plantar aspect of the medial longitudinal arch Results: In all specimens, the posterior tibial tendon inserted into the plantar medial aspect of the navicular with separate slips to the intermediate and lateral cuneiform. Following insertion, on the navicular, a tendon-like structure extended from this navicular insertion point to the medial cuneiform. This tendon-like structure is statically inserted between the navicular and medial cuneiform allowing the pull of tibialis posterior to act on the navicular and medial cuneiform in tandem. The average width of this ligament (15.2 mm) is much greater than that of the tibialis posterior tendon (9.5 mm). A separate smaller plantar ligament is also present between the navicular and medial cuneiform. Conclusion: The posterior tibialis tendon inserts into the navicular, and what is likely an anthropological remnant, extends onto the medial cuneiform as the navicular cuneiform ligament. This provides a static restraint between two bony insertions and increases the lever arm of the posterior tibial tendon. The major support of the distal aspect of the medial longitudinal arch (i.e. the navicular-cuneiform joint) is provided by the substantial navicular cuneiform ligament.

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21

Chang, Geraldine H., Eric Y. Chang, Christine B. Chung, and Donald L. Resnick. "Bipartite Medial Cuneiform: Case Report and Retrospective Review of 1000 Magnetic Resonance (MR) Imaging Studies." Case Reports in Medicine 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/130979.

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Objective. To present a unique case report of a Lisfranc fracture in a patient with a bipartite medial cuneiform and to evaluate the prevalence of the bipartite medial cuneiform in a retrospective review of 1000 magnetic resonance (MR) imaging studies of the foot.Materials and Methods. Case report followed by a retrospective review of 1000 MR imaging studies of the foot for the presence or absence of a bipartite medial cuneiform.Results. The incidence of the bipartite medial cuneiform is 0.1%.Conclusion. A bipartite medial cuneiform is a rare finding but one with both clinical and surgical implications.

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22

Feilmeier, Mindi, Paul Dayton, Merrell Kauwe, Andrea Cifaldi, Britney Roberts, Hannah Johnk, and Rachel Reimer. "Comparison of Transverse and Coronal Plane Stability at the First Tarsal-Metatarsal Joint With Multiple Screw Orientations." Foot & Ankle Specialist 10, no. 2 (September 20, 2016): 104–8. http://dx.doi.org/10.1177/1938640016666920.

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Intercuneiform instability has been recognized as a potential cause of hallux valgus recurrence following tarsal-metatarsal joint (TMTJ) fusion. Recommendations have been made for additional screw placement between the metatarsals and/or the cuneiforms to improve stability. The screw orientation that provides the best stability has not been documented. Twelve cadavers with the first TMTJ fixated were used for testing. Using a consistent force application of 15 pounds in both the transverse and coronal planes, we measured the change in intermetatarsal angle on radiographs. Force testing was repeated with screws deployed individually in the following orientations: first to second cuneiform (CC), first to second metatarsal (MM), and first metatarsal to middle cuneiform (MC). Our results indicate that stability of the first ray in the transverse and coronal planes is not improved with TMTJ fixation alone or with an additional CC screw. The MM screw consistently reduced first metatarsal instability in both planes. The MC screw had intermediate results. These findings strengthen the notion that first ray instability is complex and involves the tarsal and metatarsal articulations at multiple levels outside of the TMTJ alone. Levels of Evidence: Diagnostic and Therapeutic, Level IV: Cadaveric Study

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23

Monroe, M. Willis. "Astronomical and astrological diagrams from cuneiform sources." Journal for the History of Astronomy 53, no. 3 (August 2022): 338–61. http://dx.doi.org/10.1177/00218286221110919.

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While the clay used to write cuneiform tablets is well suited to impressing the wedges of cuneiform signs it is not an ideal medium for the curved lines and detailed marks needed to create illustrative diagrams of the heavens well known in neighboring cultures. Yet, in a selection of examples, cuneiform scholars of astronomy and astrology used clay to sketch out complex diagrams of celestial arrangements and schematic representations of astrological concepts. This article will survey the corpus of astronomical and astrological diagrams preserved from cuneiform sources and summarize key observations about the relation of diagrams to texts and tablets and the representation of theoretical knowledge.

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24

Brookes-Fazakerley, S. D., G. E. Jackson, and S. R. Platt. "An additional middle cuneiform?" Journal of Surgical Case Reports 2015, no. 7 (July 2015): rjv076. http://dx.doi.org/10.1093/jscr/rjv076.

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25

Guler, Ferhat, Ali Bulent Baz, Adil Turan, Ozkan Kose, and Serdar Akalin. "Isolated Medial Cuneiform Fractures." Foot & Ankle Specialist 4, no. 5 (September 16, 2011): 306–9. http://dx.doi.org/10.1177/1938640011416354.

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Steen, Eric F., Steven P. Brancheau, Tho Nguyen, Marc D. Jones, and Valerie L. Schade. "Symptomatic Bipartite Medial Cuneiform." Foot & Ankle Specialist 9, no. 1 (March 17, 2015): 69–78. http://dx.doi.org/10.1177/1938640015576788.

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27

Sanders, James O., and Peter L. J. McGanity. "Intermediate Cuneiform Fracture-Dislocation." Journal of Orthopaedic Trauma 4, no. 1 (March 1990): 102–4. http://dx.doi.org/10.1097/00005131-199003000-00019.

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28

Jerome, J. Terrence Jose, Mathew Varghese, and Balu Sankaran. "Tuberculosis of the cuneiform." Foot and Ankle Surgery 13, no. 4 (January 2007): 199–202. http://dx.doi.org/10.1016/j.fas.2007.04.004.

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Mohebbati, Reza, Hassan Abbassian, Mohammad Naser Shafei, Ali Gorji, and Sajad Sahab Negah. "The alteration of neuronal activities of the cuneiform nucleus in non-hypovolemic and hypovolemic hypotensive conditions." Arquivos de Neuro-Psiquiatria 79, no. 10 (October 2021): 871–78. http://dx.doi.org/10.1590/0004-282x-anp-2020-0549.

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Abstract Background: The cuneiform nucleus is located in the center of the circuit that mediates autonomic responses to stress. Hemorrhagic hypotension leads to chemoreceptor anoxia, which consequently results in the reduction of baroreceptor discharge and stimulation of the chemoreceptor. Objective: Using the single-unit recording technique, the neuronal activities of the cuneiform nucleus were investigated in hypotensive states induced by hemorrhage and administration of an anti-hypertensive drug (hydralazine). Methods: Thirty male rats were divided into the control, hemorrhage, and hydralazine groups. The femoral artery was cannulated for the recording of cardiovascular responses, including systolic blood pressure, mean arterial pressure, and heart rate. Hydralazine was administered via tail vein. The single-unit recording was performed from the cuneiform nucleus. Results: The maximal systolic blood pressure and the mean arterial pressure significantly decreased and heart rate significantly increased after the application of hydralazine as well as the following hemorrhage compared to the control group. Hypotension significantly increased the firing rate of the cuneiform nucleus in both the hemorrhage and hydralazine groups compared to the control group. Conclusions: The present data indicate that the cuneiform nucleus activities following hypotension may play a crucial role in blood vessels and vasomotor tone.

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Levine, Benjamin P., Robert Stoppacher, and Thomas K. Kristiansen. "Plantar Lateral Dislocation of the Medial Cuneiform: A Case Report." Foot & Ankle International 19, no. 2 (February 1998): 118–19. http://dx.doi.org/10.1177/107110079801900213.

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This case report describes an isolated plantar lateral dislocation of the medial cuneiform. We were able to find only one other similar case reported in the literature. That case had a delayed diagnosis of 5 months and with an associated an avulsion fracture of the second metatarsal base. 4 Dines et al. 3 reported an isolated dorsomedial dislocation at the medial cuneonavicular joint. An irreducible dorsomedial dislocation with the anterior tibialis tendon being trapped between the medial cuneiform and the navicular has been reported. 2 A distal and lateral dislocation of the medial cuneiform was reported in association with displacement of the second to fourth metatarsal and medial fractures of the navicular and cuneiform. 1 The current report differs from previous cases. There was not an associated fracture; the direction of the dislocation was unique and could be reduced closed.

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Weeden, Mark. "Spelling, phonology and etymology in Hittite historical linguistics." Bulletin of the School of Oriental and African Studies 74, no. 1 (February 2011): 59–76. http://dx.doi.org/10.1017/s0041977x10000716.

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AbstractThis is a review article on Alwin Kloekhorst, Etymological Dictionary of the Hittite Inherited Lexicon (Leiden Indo-European Etymological Dictionary Series 5. Leiden and Boston: Brill, 2008. $199. ISBN 978 90 04 16092 7). The article addresses issues arising from Kloekhorst's depiction of Hittite cuneiform spelling conventions in the context of the wider cuneiform world (Mesopotamia and Northern Syria). In particular the representation of a glottal stop in Hittite and relevant cuneiform writing is addressed. The second part of the article addresses further individual graphic and lexical issues arising throughout the etymological dictionary.

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Duarte, Márcio Luís, Lucas Ribeiro Dos Santos, José Luiz Masson de Almeida Prado, and Marcelo De Queiroz Pereira da Silva. "Coalizão cuneiforme lateral-cuboide – uma coalizão rara / Lateral cuneiform-navicular coalition – a rare coalition." Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo 65, no. 1 (April 22, 2020): 1. http://dx.doi.org/10.26432/1809-3019.2020.65.012.

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Introdução: A coalizão tarsal representa uma comunicação anormal entre ossos do tarso e pode ser óssea, cartilaginosa ou fibrosa, se desenvolvendo de forma secundária a insuficiência da diferenciação e segmentação do mesênquima primitivo nas primeiras fases do desenvolvimento, diminuindo a mobilidade e deformando os pés, quando congênita. Quando adquirida ocorre devido à artrite inflamatória, infecção, trauma, neoplasia, entre outras causas. Relato de Caso: Relatamos o caso de uma mulher de 37 anos com queixa há um mês, desmontando a importância da investigação da causa e a necessidade de atenção por parte do radiologista para a avaliação das coalizões tarsais visto que, uma coalizão, independentemente de quais ossos envolvidos, pode levar a uma sintomatologia limitante. Palavras chave: Ossos do tarso, Coalizão tarsal, Imagem por ressonância magnética, Deformidades do péAbstractIntroduction: Tarsal coalitions represent abnormal bridging between tarsal bones and can be osseous, cartilaginous, or fibrous, developing secondary to failure of differentiation and segmentation of the primitive mesenchyme in the first stages of development, decreasing mobility and deforming the feet, when is congenital. When acquired it occurs due to inflammatory arthritis, infection, trauma, neoplasia and other causes. Case report: We report the case of a 37-year- -old woman with a complaint a month ago, dismantling the importance of investigating the cause and the need for attention by the radiologist for the evaluation of tarsal coalitions since, a coalition, regardless of which bones involved, can lead to limiting symptoms.Keywords: Tarsal bones, Tarsal coalition, Magnetic resonance imaging, Foot def

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Jarusriwanna, Atthakorn, and Bavornrit Chuckpaiwong. "Appropriate Area for Operative Procedures Near Tibialis Anterior Tendon Insertion: A Cadaveric Study." Foot & Ankle International 39, no. 3 (January 7, 2018): 349–54. http://dx.doi.org/10.1177/1071100717743964.

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Background: The tibialis anterior tendon has its insertion sites on both the medial and plantar surfaces of the medial cuneiform and the base of the first metatarsal. Operative procedures near those areas, especially at the first metatarsocuneiform joint, may disturb tendon insertions and cause irritation or functional impairment of the tendon. Methods: Tibialis anterior tendons and their insertion sites were dissected and examined from 46 cadaveric feet (19 female and 27 male cadavers, aged between 33 and 86 years, with a mean of 68.5 ± 14.3 years). The greatest lengths and widths of the tendon attachments on the bony surface of the medial cuneiform and base of the first metatarsal, on both the medial and plantar surfaces, were measured and analyzed. The measurement reliability was evaluated by using the intraclass correlation coefficient. Results: Most of the tibialis anterior tendon insertions were found to be longer at the medial cuneiform than at the base of the first metatarsal (mean, 8.3 and 5.4 mm; P < .001), but the widths were almost similar (mean, 11.0 and 10.4 mm; P = .079). When focusing on each bone, the widths of the tendon attachments on the medial and plantar surfaces of the medial cuneiform were equivalent (mean, 5.4 and 5.6 mm; P = .584). At the base of the first metatarsal, the tendon attachment on the plantar surface was found to be wider than on the medial surface (mean, 7.0 and 3.4 mm; P < .001). Conclusion: The widths of the tibialis anterior tendon insertions on the medial and plantar surfaces of the medial cuneiform were equal, as were the total widths of insertions on the medial cuneiform and on the base of the first metatarsal. However, the width of insertions on the medial surface of the first metatarsal was significantly smaller than on the plantar surface, and the total length of insertions at the medial cuneiform was longer than at the first metatarsal. Clinical Relevance: This study provides information about characteristics of the tibialis anterior tendon insertions, particularly details of the dimensions on each surface of the bones. This knowledge enables surgeons to minimize the risk of irritation or tendon injuries during operations near the base of the first metatarsal and medial cuneiform area.

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Lynch, James Robert, Lawrence Alan Cooperstein, and Anthony Michael DiGioia. "Plantar Medial Subluxation of the Medial Cuneiform: Case Report of an Uncommon Variant of the Lisfranc Injury." Foot & Ankle International 16, no. 5 (May 1995): 299–301. http://dx.doi.org/10.1177/107110079501600510.

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An uncommon injury of plantar medial subluxation of the medial cuneiform as a variant of the Lisfranc fracture subluxation is presented. The mechanism of injury is discussed and a comparison is made to previous case reports of variants of medial cuneiform injury.

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Rochberg, Francesca. "ṭupšarrūtu and the Historiography of Science." Claroscuro. Revista del Centro de Estudios sobre Diversidad Cultural, no. 20 (December 30, 2021): 1–27. http://dx.doi.org/10.35305/cl.vi20.53.

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Over the course of many centuries, cuneiform scribe-scholars produced a textual culture of learning that organized knowledge of the phenomenal world as defined by their particular interests. The ancient term for this culture was ṭupšarrūtu “the art of the scribe.” That we grant this culture the designation scientific is not without problems from the perspectives both of modern philosophy of science and of conventional historiography of science. This essay reflects on the anachronisms entailed in transposing such ideas about science to the premodern cuneiform world and the consequences these ideas have on a historiography of science inclusive of cuneiform scientific texts.

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Wagner, Emilio, Pablo Wagner, Florencia Pacheco, Mario López, Felipe H. Palma, and Rodrigo Guzman- Venegas. "Importance of Midfoot Ligaments in a Hallux Valgus Cadaveric Model." Foot & Ankle Orthopaedics 7, no. 1 (January 2022): 2473011421S0048. http://dx.doi.org/10.1177/2473011421s00489.

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Category: Bunion Introduction/Purpose: Hallux valgus (HV) is of uncertain origin. Even though a huge amount of treatment options are available, no clear cause for this deformity exist. To be able to further understand this frequent pathology, a cadaveric model should be developed. A cadaveric model was developed trying to obtain similar deformities to the ones observed in Hallux valgus (first ray varus and pronation). The objective of this research is to recreate some characteristics of a HV deformity, through sequential ligaments sectioning. Methods: 8 fresh frozen lower leg specimens were used. Markers were attached to the medial and middle foot ray bones, including talus. A constant tibial axial load of 25 kg was used. Cyclic tibial rotation (to simulate gait phases) and 5 kg pull on the extensor and flexor hallucis tendons (EHL and FHL) were applied to the specimen. Limited and sequential medial and middle column ligamentous sectioning were performed, including the, dorsal and interosseous naviculo-cuneiform, intercuneiform, metatarso-cuneiform and intermetatarsal ligaments. After each ligament damage, bony alignment was measured including frontal (bone divergence) and axial plane (bone rotation). Results: After intercuneiform, Lisfranc and naviculo-cuneiform ligaments sectioning, a significant angular increase was found in the naviculo-cuneiform, intercuneiform and naviculo-metatarsal angles (p=0.001). Specifically, for bone rotation, the biggest change was found for the intercuneiform and naviculo-cuneiform angles. Regarding bone divergence, the biggest increase was found in the talo-metatarsal angle. No additional angular change was found after adding metatarso-cuneiform ligament damage. No change in the sagittal alignment was found. Conclusion: This model was able to recreate some parameters of the hallux valgus deformity. No flatfoot deformity was produced. Surprisingly, no significant angular change was produced after metatarso-cuneiform ligament damage. Most significant changes were found after intercuneiform and naviculocuneiform damage. Our findings suggest that midfoot instability has to be present to recreate a hallux valgus deformity.

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Koroneos, Zachary, Emily Vannatta, Morgan S. Kim, Madelaine W. Fritsche, Trevin Cowman, Allen Kunselman, Gregory Lewis, and Michael C. Aynardi. "Biomechanical Comparison of FiberTape Device Repair Techniques of Ligamentous Lisfranc Injury in Cadaveric Model." Foot & Ankle Orthopaedics 5, no. 4 (October 1, 2020): 2473011420S0005. http://dx.doi.org/10.1177/2473011420s00050.

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Category: Trauma; Basic Sciences/Biologics; Midfoot/Forefoot; Sports Introduction/Purpose: Lisfranc ligamentous injuries are complex. Controversy exists regarding their treatment and preferred method of fixation. Fixation methods employing a FiberTape device and interference screw fixation have been described as an alternative to traditional screw fixation. The purpose of this biomechanical study was to evaluate two methods of fixation utilizing interference screw fixation with FiberTape augmentation in a cadaveric model. Methods: 9 paired cadaveric feet (mid tibia/fibula) were separated into two groups based on fixation method: FiberTape alone and FiberTape with supplementary limb into the middle cuneiform via anchor. At three joints of the midfoot (second metatarsal - medial cuneiform, intermediate cuneiform - medial cuneiform, second metatarsal - intermediate cuneiform), the diastasis and relative angular displacement between bones in the coronal plane were measured for static and cyclic loading. Measurements were obtained for the native (pre-injured), injured, and post-fixation in static loading. Fixed specimens then underwent stepwise increases in cyclic loading performed at 1 Hz and 100 cycles, at 100 N intervals from 500 to 1800 N ground reaction force. The Achilles tendon was also loaded to simulate postoperative weightbearing. Failure of fixation was defined as diastasis at the second metatarsal - medial cuneiform joint greater than 2 millimeters. Results: FiberTape specimens demonstrated diastasis failures of 3 of 9 (33%) specimens at cyclic loads of 1000 N. Conversely, FiberTape with supplementary limb specimens all survived past this loading magnitude, with 1 failing at supraphysiologic loads (>1200 N). The difference in diastasis at the second metatarsal-medial cuneiform joint was statistically significant between the two groups at forces of 1600N (p = 0.019) and 1800N (p = 0.029). There were no significant differences between the other joint diastases and relative angular displacements. Conclusion: The use of FiberTape for fixation of ligamentous Lisfranc injuries appears to provide a biomechanically viable alternative for withstanding early post-operative protected weightbearing. Furthermore, the use of a supplementary limb in addition to the FiberTape fixation method appears to enhance its biomechanical efficacy under cyclic loading especially at higher loads.

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Cohen, Yoram. "Cuneiform in Canaan: Cuneiform Sources from the Land of Israel in Ancient Times. Wayne Horowitz and Takayoshi Oshima.Alphabetic Cuneiform Texts. Seth Sanders." Bulletin of the American Schools of Oriental Research 349 (February 2008): 83–86. http://dx.doi.org/10.1086/basor25067059.

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Swanton, Eric, Lauren Fisher, Andrew Fisher, Andrew Molloy, and Lyndon Mason. "An Anatomic Study of the Naviculocuneiform Ligament and Its Possible Role Maintaining the Medial Longitudinal Arch." Foot & Ankle International 40, no. 3 (November 22, 2018): 352–55. http://dx.doi.org/10.1177/1071100718811638.

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Background: Weight-bearing radiographic analysis of pes planus deformities show, with varying degree of severity, a break in the Meary line. The break in the Meary line occurs not only at the talonavicular joint but also distal to the spring ligament and reported tibialis posterior insertion. Our aim in this study was to investigate the distal plantar ligaments of the medial longitudinal arch, to try to identify other areas where deformity correction could be affected. Methods: We examined 11 cadaveric lower limbs that had been preserved for dissection in a solution of formaldehyde. The lower limbs were carefully dissected to identify the plantar aspect of the medial longitudinal arch. Results: In all specimens, the tibialis posterior tendon inserted into the plantar medial aspect of the navicular with separate slips to the intermediate and lateral cuneiform. The navicular cuneiform ligament extended from the navicular to medial cuneiform. This structure was statically inserted between the navicular and medial cuneiform, which would allow the pull of the tibialis posterior to act on the navicular and medial cuneiform in tandem. The average width of the naviculocuneiform ligament was 15.2 mm (range 12.4-18.0) compared to 9.5 mm (range 7.6-11.4) for the tibialis posterior tendon. Conclusion: The tibialis posterior tendon inserted into the navicular and continued onto the medial cuneiform to provide a static restraint between 2 bony insertions, thus supporting the distal aspect of the medial longitudinal arch. Clinical Relevance: We are confident that it is a structure of importance in maintaining the distal aspect of the medial longitudinal arch and may therefore have significant clinical and surgical implications when treating the pes planus deformity.

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Bulut, Güven, Davud Yasmin, Nurettin Heybeli, Hüseyin Yener Erken, and Muzaffer Yildiz. "A Complex Variant of Lisfranc Joint Complex Injury." Journal of the American Podiatric Medical Association 99, no. 4 (July 1, 2009): 359–63. http://dx.doi.org/10.7547/0980359.

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We report an unusual case of a variant of Lisfranc injury, plantar dislocation of the medial cuneiform with plantar fracture-dislocation of the intermediate cuneiform and dorsal fracture-dislocation of the lateral cuneiform, which has never been reported, to our knowledge. The entire pathologic abnormality was treated by open reduction and fixation with Kirschner wires, which were removed 8 weeks postoperatively because of pin-tract infection. Complex regional pain syndrome, which was a problem early in the recovery process, is now in remission, and at the 25-month follow-up examination, the patient was almost symptom free. (J Am Podiatr Med Assoc 99(4): 359–363, 2009)

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Doran, Ivan, and Robert N. White. "Successful Surgical Treatment of a Suspected Iatrogenic Arytenoid Cartilage Fracture in a Dog." Journal of the American Animal Hospital Association 45, no. 4 (July 1, 2009): 181–84. http://dx.doi.org/10.5326/0450181.

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A 3-year-old, intact female golden retriever was presented with a sudden onset of inspiratory obstructive dyspnea following general anesthesia to perform a mastectomy. The cuneiform process of the left arytenoid cartilage was found to be extremely mobile on laryngeal examination. Fracture of the cuneiform process of the left arytenoid cartilage was diagnosed. A combined cricoarytenoid and thyroarytenoid caudolateralization procedure was performed on the left side, and no further dyspnea was observed during a follow-up period of 7 months. Fracture of the cuneiform process of the arytenoid cartilage has not been previously reported in dogs. The condition may respond favorably to cricoarytenoid and thyroarytenoid caudolateralization surgery.

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42

Rochberg, Francesca. "Mereological themes in cuneiform worldmaking." Interdisciplinary Science Reviews 46, no. 3 (February 17, 2021): 386–404. http://dx.doi.org/10.1080/03080188.2020.1832352.

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MORROW, W. S. "Cuneiform Literacy and Deuteronomic Composition." Bibliotheca Orientalis 62, no. 3 (August 1, 2005): 204–13. http://dx.doi.org/10.2143/bior.62.3.2015539.

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44

Michalowski, Piotr, and Adnan Misir. "Cuneiform Texts from Kazane Höyük." Journal of Cuneiform Studies 50, no. 1 (January 1998): 53–58. http://dx.doi.org/10.2307/1360032.

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Babu, Satish, Ravikiran Shenoy, Piyush Mahapatra, and Amit Amin. "Isolated Cuboid-Lateral Cuneiform Coalition." Journal of the American Podiatric Medical Association 107, no. 6 (November 1, 2017): 556–60. http://dx.doi.org/10.7547/15-118.

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Tarsal coalitions represent a cohort of conditions characterized by bony, cartilaginous, or fibrous union of two or more tarsal bones. These disorders are often poorly understood by medical professionals, often leading to delays in diagnosis and treatment. They may be asymptomatic or cause hindfoot pain, stiffness, decreased range of motion, and foot deformities. Coalitions can be investigated by an ascending sequence of imaging including radiography, computed tomography, and magnetic resonance imaging. They may be managed conservatively with orthoses, activity modification, physiotherapy, anti-inflammatory medications, or definitive surgical intervention. To our knowledge, cuboid-lateral cuneiform coalition has not been reported in the orthopedic literature. We describe a 40-year-old woman with this condition who reported a 1-year history of left foot pain and stiffness. She was definitively diagnosed with magnetic resonance imaging and was managed conservatively with an aircast boot and hydrocortisone injection.

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Hussein, Mohammed. "Created man in cuneiform texts." Humanities Journal of University of Zakho 2, no. 1 (June 30, 2014): 129–38. http://dx.doi.org/10.26436/2014.2.1.266.

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Hunger, Hermann. "“Science” in the Cuneiform World." Journal for the History of Astronomy 49, no. 1 (February 2018): 129–30. http://dx.doi.org/10.1177/0021828618755446.

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Martin, J. Vaquero, E. Vicente-Herrera, J. Pereiro de Lamo, and C. Vidal Fernandez. "Osteochondritis of the Medial Cuneiform." Journal of Pediatric Orthopaedics B 8, no. 1 (January 1999): 69–71. http://dx.doi.org/10.1097/01202412-199901000-00019.

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Hunger, H. "Cuneiform Descriptions of Transient Phenomena." Proceedings of the International Astronomical Union 14, A30 (August 2018): 167–70. http://dx.doi.org/10.1017/s1743921319003995.

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AbstractSources from Ancient Mesopotamia contain mention of transient astronomical phenomena in two contexts: in records of observations, many of which can be dated, and in collections of omens, which use the appearance of such phenomena to predict future events. These omens consider quite a range of phenomena, but only rarely can they be dated in a precise way. This paper describes how transient phenomena were handled in both kinds of context.

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Martin, J. Vaquero, E. Vicente-Herrera, J. Pereiro de Lamo, and C. Vidal Fernandez. "Osteochondritis of the Medial Cuneiform." Journal of Pediatric Orthopaedics, Part B 8, no. 1 (January 1999): 69–71. http://dx.doi.org/10.1097/00009957-199901000-00019.

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