Sonography of the superomedial part of the spring ligament complex of the foot: a study of cadavers and asymptomatic volunteers

Harish, Srinivasan; Jan, Edgar; Finlay, Karen; Petrisor, Brad; Popowich, Terry; Friedman, Lawrence; Wainman, Bruce; Jurriaans, Erik

doi:10.1007/s00256-006-0229-7

Cited by 31 publications

(19 citation statements)

References 26 publications

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“…Heterogeneous increase in signal and thickening of ligament may be seen in patients with associated posterior tibial tendinosis [5,6]. In two different anatomical [2] and ultrasound studies [12], the mean width of the normal ligament at the talar head was 2.5 and 3 mm respectively as compared to 3.6 mm (distal measurement) in our study. The difference may be due to a slightly different orientation of the standard image or because we included the articular cartilage of the talar head in our measurement.…”

Section: Discussioncontrasting

confidence: 45%

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Ultrasound assessment of the spring ligament complex

et al. 2008

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This study was conducted to document the normal ultrasound anatomy of the spring ligament in asymptomatic subjects and to prospectively determine the frequency of ultrasound abnormality of the spring ligament in patients with suspected posterior tibial tendinopathy. The superomedial calcaneonavicular ligament (CNL) of 10 healthy volunteers was examined by ultrasound. Nineteen patients with a clinical diagnosis of suspected posterior tibial tendinopathy and/or chronic pain along the course of the tendon were examined by ultrasound. The superomedial CNL thickness was measured. Normal anatomy of the superomedial CNL could be demonstrated in all the volunteers. The mean of the combined proximal measurements was 4 mm and of the distal measurements 3.6 mm. Sixteen patients with posterior tibial tendinopathy had increased thickness of the spring ligament, which was more evident on its distal portion over the talar head. One patient had superomedial CNL insufficiency with normal posterior tibial tendon. The mean proximal measurement in the study group was 5.1 mm and the distal measurement 6.1 mm. The differences between the measurements in the study group and controls were highly significant (proximal site P < 0.01, distal site P < 0.001). Spring-ligament laxity or tear is characterised by thickening. There is a strong association between posterior tibial tendinopathy and abnormality of the spring ligament.

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Section: Discussioncontrasting

confidence: 45%

“…The ligament was identified by its hyperechoic fibrillar echo pattern. We used the same technique as was described in a recent study of cadavers and asymptomatic patients [12].…”

Section: Ultrasound Techniquementioning

confidence: 99%

Ultrasound assessment of the spring ligament complex

et al. 2008

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“…The ligament spans the osseous gap between the sustentaculum tali of the calcaneus and the navicular bone and provides support for the head of the talus Desai et al [4]. The spring ligament, together with the anterior and middle facets of the calcaneus, and the proximal articular surface of the navicular comprise the acetabulum pedis [2].…”

Section: Discussionmentioning

confidence: 99%

“…

Much has been written describing the normal and pathologic MR features of the spring ligament [2][3][4][5][6]. To our knowledge, however, there has not yet been a study reporting the presence and the imaging features of the spring ligament recess, a fluid collection extending from the talocalcaneonavicular joint, interposed between the medioplantar oblique and inferoplantar longitudinal components of the spring ligament.

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mentioning

confidence: 99%

The Spring Ligament Recess of the Talocalcaneonavicular Joint: Depiction on MR Images With Cadaveric and Histologic Correlation

Desai

Beltrán²,

Bencardino³

et al. 2011

American Journal of Roentgenology

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“…The spring ligament complex is composed of the superomedial, medioplantar, and inferoplantar calcaneonavicular ligaments (Figure ) . The spring ligament is one of the major stabilizers of the longitudinal arch and for supporting the head of the talus …”

Section: Spring Ligament Complex (Calcaneonavicular Ligament)mentioning

confidence: 99%

Normal and Injured Ankle Ligaments on Ultrasonography With Magnetic Resonance Imaging Correlation

Alves

Dong

Jacobson

et al. 2018

J of Ultrasound Medicine

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Ultrasonography (US) has been increasingly used in the evaluation of ankle ligamentous injuries given its advantages as a dynamic, efficient, noninvasive, and cost-effective imaging method. Understanding the anatomy of the ankle ligaments is critical for correct diagnosis and treatment. This pictorial essay describes and illustrates the US scanning technique and potential pitfalls in evaluating the ankle ligaments and also provides an overview of the US appearance of normal and injured ankle ligaments with magnetic resonance imaging correlation. Highlighted structures include the lateral complex, medial/deltoid complex, spring (calcaneonavicular) ligament complex, and syndesmosis.

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Sonography of the superomedial part of the spring ligament complex of the foot: a study of cadavers and asymptomatic volunteers

Abstract: High-resolution ultrasound can be used to identify and measure the thickness of the superomedial part of the normal spring ligament. The provided baseline measurements for the normal ligament could prove valuable when assessing the abnormal ligament.

Cited by 31 publications

References 26 publications

Ultrasound assessment of the spring ligament complex

Ultrasound assessment of the spring ligament complex

The Spring Ligament Recess of the Talocalcaneonavicular Joint: Depiction on MR Images With Cadaveric and Histologic Correlation

Normal and Injured Ankle Ligaments on Ultrasonography With Magnetic Resonance Imaging Correlation

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