Ligaments of the Transverse Tarsal Joint Complex: MRI–Anatomic Correlation in Cadavers

Abstract

By clearly defining the normal ligaments that contribute to the stability of the calcaneocuboid joint, MRI allows a more precise and correct diagnosis of the etiology of the calcaneocuboid instability, perhaps permitting a more specific surgical management. MRI also allows a better understanding of the normal imaging anatomy of the different components of the ligamentous structures of the talocalcaneonavicular joint, particularly of the spring ligament complex.

ACR Appropriateness Criteria Acute Trauma to the Foot

“…In addition, there is debate as to whether radiography should be the initial imaging modality in the setting of a suspected Lisfranc injury, as patients with Lisfranc sprains may incur ligamentous damage without diastasis [26]. CT and MRI have been advocated as the best imaging tests (especially if the patient is not able to bear weight), and 3D-volumetric acquisitions have proven superiority, compared with orthogonal proton-density fat-suppressed imaging [17,18,[27][28][29][30][31].…”

Acute plantar midtarsal dislocation with intercuneiform dislocation: Case study, diagnosis and management

“…2,3 The calcaneocuboid joint is supported inferiorly by the superficial and deep inferior calcaneocuboid ligaments and superiorly by the lateral limb of the bifurcate ligament. 3 Dislocations of the midtarsal joint, although uncommon, have been reported from a variety of high-energy mechanisms including motor vehicle crashes and falls from height, and often have associated injuries in the polytrauma patient. 5 An isolated dorsal midtarsal dislocation from a low-energy mechanism has also been reported.…”

“…12 The bifurcate ligament, calcaneonavicular ligament, and inferior calcaneocuboid ligament provide strong structural support to the midtarsal joints and are key structures of the foot arch. 2,3 Due to the force needed to disrupt these ligaments, tarsal dislocations are often associated with fractures and rarely occur in isolation. 13 Wilson et al reported that hindfoot injuries and midfoot injuries account for approximately 24% and 16% respectively of all foot and ankle injuries sustained as a consequence of motor vehicle accidents.…”

Arthroscopic Repair of Superomedial Spring Ligament by Talonavicular Arthroscopy

“…[1][2][3] Injury to the spring ligament is commonly due to failure of the tibialis posterior tendon in adult-acquired flatfoot deformity, although isolated injury to the ligament with a normal tibialis posterior tendon has also been reported. [4][5][6] The superomedial spring ligament is the most common site of rupture (Lui TH, December 2013).…”