Could Failure of the Spring Ligament Complex Be the Driving Force behind the Development of the Adult Flatfoot Deformity?

Williams, Glynn D.; Widnall, James; Evans, Paul; Platt, Simon

doi:10.1053/j.jfas.2013.12.011

Cited by 37 publications

(16 citation statements)

References 22 publications

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“…5 Several traumatologists believe that in most cases, the medial longitudinal arch flattens prior to the damage of the TPT. [6][7][8][9] Tryfonidis et al, in a series of nine cases of AAFD related to acute trauma, demonstrated isolated rupture of the spring ligament as the only pathological finding. [6][7][8][9] Tryfonidis et al, in a series of nine cases of AAFD related to acute trauma, demonstrated isolated rupture of the spring ligament as the only pathological finding.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Yet, there are cases of AAFD presenting with symptoms at the TPT with pre-existing flat foot deformity. 5,6 Yet, there are cases of AAFD presenting with symptoms at the TPT with pre-existing flat foot deformity.…”

Section: Discussionmentioning

confidence: 99%

“…Scientific literature usually considers TPT dysfunction as the commonest cause of AAFD. 5,6 Yet, there are cases of AAFD presenting with symptoms at the TPT with pre-existing flat foot deformity. 5 Several traumatologists believe that in most cases, the medial longitudinal arch flattens prior to the damage of the TPT.…”

Section: Discussionmentioning

confidence: 99%

“…2,4 Tibialis posterior tendon (TPT) dysfunction is the commonest cause of AAFD, but is not a sole pathological entity. [6][7][8][9] Misdiagnosis or failure to recognise the condition may increase patient morbidity and lead to adverse clinical outcomes. A spectrum of abnormalities may contribute to AAFD including isolated tears of the TPT, TPT tears in association with spring ligament failure or isolated spring ligament rupture.…”

Section: Introductionmentioning

confidence: 99%

“…A spectrum of abnormalities may contribute to AAFD including isolated tears of the TPT, TPT tears in association with spring ligament failure or isolated spring ligament rupture. [6][7][8][9] Misdiagnosis or failure to recognise the condition may increase patient morbidity and lead to adverse clinical outcomes. 3 This review examines a series of eight cases of chronic AAFD patients, discusses the anatomy and function of the TPT and spring ligament and the aetiology and pathophysiology of AAFD.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound evaluation of adult‐acquired flatfoot deformity: Emphasis on the involvement of spring ligament

Sirlyn¹

2017

Australas J Ultrason Med

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Adult-acquired flatfoot deformity (AAFD), a condition commonly caused by tibialis posterior tendon (TPT) dysfunction, has recently been recognised to encompass a spectrum of other deformities, including the disruption of the spring ligament complex. This case series reviews eight examples of chronic AAFD, outlines the sonographic assessment of the TPT and spring ligament and depicts various abnormalities of the TPT and spring ligament that are relevant to AAFD. The importance to always include the spring ligament during the assessment of AAFD will be addressed, as misdiagnosis of the involvement of the spring ligament could lead to inappropriate operative management.

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