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The tibialis anterior and fibularis longus muscle inserts at the medial cuneiform bone.
Flexor hallucis brevis muscle arises on the medial cuneiform bone and related ligaments and tendons.
Lateral to the abductor hallucis is the flexor hallucis brevis, which originates from the medial cuneiform bone and from the tendon of the tibialis posterior.
The bundle connecting the navicular with the medial cuneiform bone is continuous around the medial side of the articulation with the plantar ligament which unites these two bones.
After passing through the most medial compartments of the transverse and cruciate crural ligaments, it is inserted into the medial and under surface of the medial cuneiform bone and the base of the first metatarsal bone.
This can be due to either too short a first metatarsal bone or to "hypermobility of the first ray" (metatarsal bone + medial cuneiform bone behind it), both of which result in excess pressure being transmitted into the second metatarsal head.
From its origin on the lateral surface of the tibia and the interosseus mebrane, the three-sided belly of the tibialis anterior extends down below the superior and inferior extensor retinacula to its insertion on the plantar side of the medial cuneiform bone and the first metatarsal bone.