An unusual presentation of acute isolated spring ligament injury in an adolescent: A case report. (June 2021)

• Record Type: Journal Article
• Authors: Dumbre Patil, Sampat; Orthner, Ernst; Dumbre Patil, Vaishali
• Is Part Of: Foot. Volume 47(2021)
• Publication Date: 2021-06
• Subjects: Spring ligament -- Isolated spring ligament injury -- Calcaneo-navicular ligament -- Midfoot injury -- Talonavicular fusion -- Flatfoot in adolescent; Foot -- Diseases -- Periodicals; Foot -- Surgery -- Periodicals; Foot Diseases -- Periodicals; Foot -- surgery -- Periodicals; Pied -- Maladies -- Périodiques; Pied -- Chirurgie -- Périodiques; Pied -- Lésions et blessures -- Périodiques; Foot -- Diseases; Foot -- Surgery; Periodicals; Electronic journals; Electronic journals; 617.585005
• DOI: 10.1016/j.foot.2021.101807
• Languages: English
• ISSNs: 0958-2592

Abstract

Highlights: Medial longitudinal arch is stabilized by bony and soft tissue structures. Spring ligament is important soft tissue stabilizer. Insufficiency of tibialis posterior tendon along with spring ligament attenuation causes collapse of medial arch. Isolated traumatic rupture of spring ligament is uncommon but needs to be addressed. Abstract: Spring ligament is an important stabilizing soft tissue structure on the plantar aspect of calcaneo-navicular joint. It is principal stabilizing structure to maintain the medial longitudinal arch during weight bearing. Attenuation of spring ligament along with tibialis posterior tendon deficiency usually results in adult acquired flat foot. However, cases of isolated injury to spring ligament are rare in the literature. A case of neglected spring ligament injury in a 15 years old girl with an unusual and dramatic presentation is described. Head of talus used to dislocate medially and plantarwards on every step of walking. This was treated successfully with talonavicular fusion. Level of clinical evidence: Level IV