Foot and Ankle Surgery
Volume 14, Issue 2 , Pages 89-95 , 2008

Acquired adult flat foot due to isolated plantar calcaneonavicular (spring) ligament insufficiency with a normal tibialis posterior tendon

  • M. Tryfonidis (MRCS)

      Affiliations

    • Department of Foot & Ankle Surgery, Nuffield Orthopaedic Centre NHS Trust, Windmill Road, Headington, Oxford OX3 7LD, UK
    • Corresponding Author InformationCorresponding author at: Flat 8 Bankside, Corporation Street, High Wycombe HP13 6TA, UK. Tel.: +44 7931793936.
    • ,
  • W. Jackson (FRCS)

      Affiliations

    • Department of Foot & Ankle Surgery, Nuffield Orthopaedic Centre NHS Trust, Windmill Road, Headington, Oxford OX3 7LD, UK
    • ,
  • R. Mansour (FRCR)

      Affiliations

    • Department of Radiology, Nuffield Orthopaedic Centre NHS Trust, Windmill Road, Headington, Oxford OX3 7LD, UK
    • ,
  • P.H. Cooke (FRCS)

      Affiliations

    • Department of Foot & Ankle Surgery, Nuffield Orthopaedic Centre NHS Trust, Windmill Road, Headington, Oxford OX3 7LD, UK
    • ,
  • J. Teh (FRCR)

      Affiliations

    • Department of Radiology, Nuffield Orthopaedic Centre NHS Trust, Windmill Road, Headington, Oxford OX3 7LD, UK
    • ,
  • S. Ostlere (FRCR)

      Affiliations

    • Department of Radiology, Nuffield Orthopaedic Centre NHS Trust, Windmill Road, Headington, Oxford OX3 7LD, UK
    • ,
  • R.J. Sharp (FRCS)

      Affiliations

    • Department of Foot & Ankle Surgery, Nuffield Orthopaedic Centre NHS Trust, Windmill Road, Headington, Oxford OX3 7LD, UK

Received 17 May 2007 ,Revised 28 October 2007 ,Accepted 25 November 2007.

References 

  1. Sarrafian SK. Anatomy of the foot & ankle. 2nd ed.. Philadelphia: Lippincott; 1993;
  2. Sellman JR. Plantar fascia rupture associated with a corticosteroid injection. Foot Ankle. 1993;15:376–381
  3. Borton DC, Saxby TS. Tear of the plantar calcaneonavicular (spring) ligament causing flatfoot. A case report. J Bone Joint Surg B. 1997;79:641–643
  4. Mengiardi B, Zanetti M, Schöttle PB, Vienne P, Bode B, Hodler J, et al. Spring ligament complex: MR imaging–anatomic correlation and findings in asymptomatic subjects. Radiology. 2005;237:242–249
  5. Taniguchi A, Tanaka Y, Takakura Y, Kadono K, Maeda M, Yamamoto H. Anatomy of the spring ligament. J Bone Joint Surg A. 2003;85:2174–2178
  6. Huang CK, Kitaoka HB, An KN, Chao EY. Biomechanical evaluation of longitudinal arch stability. Foot Ankle. 1993;14:353–357
  7. Basmajian JV, Stecko G. The role of muscles in arch support of the foot: an electromyographic study. J Bone Joint Surg A. 1963;45:1184–1190
  8. Gazdag AR, Cracciolo A. Rupture of the posterior tibial tendon. Evaluation of injury of the spring ligament and clinical assessment of tendon transfer and ligament repair. J Bone Joint Surg A. 1997;79:675–681
  9. Deland J. The adult acquired flatfoot and spring ligament complex: pathology and implications for treatment. Foot Ankle Clin. 2001;6(1):129–135
  10. Deland JT, Arnoczky SP, Thompson FM. Adult acquired flatfoot deformity at the talonavicular joint: reconstruction of the spring ligament in an in vitro model. Foot Ankle. 1992;13:327–332
  11. Balen PF, Helms CA. Association of posterior tibial tendon injury with spring ligament injury, sinus tarsi abnormality, and plantar fasciitis on MR imaging. AJR. 2001;176:1137–1143
  12. Mansour R, Ostlere S, Sharp RJ, Teh J. Ultrasound of the spring ligament complex. Findings in healthy volunteers and patients with posterior tibial tendinopathy. European Society for Musculoskeletal Radiology Congress; Bruges, Belgium 09-10/06/2006.
  13. Harish S, Jan E, Finlay K, Petrisor B, Popowich T, Friedman L, et al. Sonography of the superomedial part of the spring ligament complex of the foot: a study of cadavers and asymptomatic volunteers. Skeletal Radiol. 2007;36(3):221–228
  14. Yao L, Gentili A, Cracchiolo A. MR imaging findings in spring ligament insufficiency. Skeletal Radiol. 1999;28:245–250
  15. Jahss MH. Spontaneous rupture of the tibialis posterior tendon: clinical findings, tenographic studies, and a new technique of repair. Foot Ankle. 1982;3:158–166
  16. Mann RA, Thompson FM. Rupture of the posterior tibial tendon causing flat foot: surgical treatment. J Bone Joint Surg A. 1985;67:556–561

PII: S1268-7731(07)00104-X

doi: 10.1016/j.fas.2007.11.005

Foot and Ankle Surgery
Volume 14, Issue 2 , Pages 89-95 , 2008

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