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

Desai, Kapil R.; Beltrán, Luis; Bencardino, Jenny T.; Rosenberg, Zehava Sadka; Petchprapa, Catherine; Steiner, German C.

doi:10.2214/ajr.10.5167

Cited by 27 publications

(33 citation statements)

References 10 publications

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“…An abnormality of these two smaller plantar bundles is less common, more challenging to diagnose, and rarely addressed surgically. The spring ligament recess, which is a normal outpouching of fluid between them, should not be confused with a tear or a ganglion cyst (61) (Fig 20, Table E1).…”

Section: Spring Ligamentmentioning

confidence: 99%

Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Flores¹,

Gómez²,

Hernando³

et al. 2019

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162

106

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■ Describe the anatomy and function of each of the principal stabilizers of the medial arch and how their dysfunction leads to AAFD. ■ Assess foot malalignment with standard radiographic metrics and recognize imaging findings that indicate damage to the supporting structures of the foot. ■ Explain the principles of clinical staging of AAFD and the most commonly used treatment options for each stage.

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Section: Spring Ligamentmentioning

confidence: 99%

Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Flores¹,

Gómez²,

Hernando³

et al. 2019

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162

106

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“…Preoperative magnetic resonance imaging (MRI) may show the osteochondral lesion. Talocalcaneonavicular joint effusion may be suggestive of talar head impaction 21 . More importantly, MRI may be needed to exclude other causes of medial heel pain, such as posterior tibial tendon deficiency.…”

Section: Techniquementioning

confidence: 99%

Arthroscopic Management of Osteochondral Lesion of Plantar Medial Talar Head

Lui¹,

Chow²

2019

Arthroscopy Techniques

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Osteochondral lesions of the talar head can be classified into 4 types: type 1 is located at the anterior part of the talar head, type 2 is at the plantar side of the talar head, type 3 is at the plantar lateral side of the talar head, and type 4 is at the plantar medial aspect of the talar head. The purpose of this Technical Note is to describe the details of arthroscopic management of an osteochondral lesion of the plantar medial talar head. It includes arthroscopic synovectomy of the medial recess of the anterior subtalar joint, debridement, and microfracture of the osteochondral lesion.

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“…5). 10 The recess is best seen in cases of talocalcaneonavicular effusion as a result of trauma or arthritic processes of the hindfoot and midfoot. originates from the sustentaculum tali (sust) and courses superiorly, with a broad attachment at the superomedial aspect of the navicular bone.…”

Section: Spring Ligament Recessmentioning

confidence: 99%

Spring Ligament Complex and Posterior Tibial Tendon: MR Anatomy and Findings in Acquired Adult Flatfoot Deformity

Mengiardi

Pinto

Zanetti

2016

Semin Musculoskelet Radiol

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The spring ligament complex is an important stabilizer of the medial ankle, together with the posterior tibial tendon (PTT) and the deltoid ligament complex. Lesions in these stabilizers result in acquired adult flatfoot deformity. The spring ligament complex includes three ligaments: the superomedial calcaneonavicular ligament, the medioplantar oblique calcaneonavicular ligament, and the inferoplantar longitudinal calcaneonavicular ligament. Normal MR imaging anatomy of the spring ligament complex and the PTT are described and illustrated in detail. Isolated lesions of the spring ligament complex are rare. In most cases, spring ligament complex lesions are secondary to PTT dysfunction. The best criteria for an injury of the clinically relevant superomedial calcaneonavicular ligament are increased signal on proton-density or T2-weighted sequences with thickening (> 5 mm), thinning (< 2 mm), or partial or complete discontinuity. A thickened ligament can be simulated by the gliding layer between the PTT and the superomedial calcaneonavicular ligament (thickness: 1?3 mm). The most common location of injury is the superior and distal portion of the superomedial calcaneonavicular ligament. A lesion seen by the orthopedic foot surgeon at the junction between the tibiospring ligament and the superomedial portion of the calcaneonavicular ligament is commonly classified as a spring ligament injury. In addition, an overview of MR imaging findings in different stages of the acquired adult flatfoot deformity is provided.

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

Abstract: The spring ligament recess is a synovium-lined, fluid-filled space that communicates with the talocalcaneonavicular joint. The recess should be distinguished from a tear of the plantar components of the spring ligament.

Cited by 27 publications

References 10 publications

Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Arthroscopic Management of Osteochondral Lesion of Plantar Medial Talar Head

Spring Ligament Complex and Posterior Tibial Tendon: MR Anatomy and Findings in Acquired Adult Flatfoot Deformity

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