Chinese Journal of Clinical Anatomy >
Anatomical observation and MRI analysis of the spring ligament
Received date: 2013-10-26
Online published: 2014-06-04
Objective To observe the anatomical characteristics and explore the function of the spring ligament by anatomical study, and to observe morphology of the spring ligament in MRI images. Methods The spring ligament was dissected; its origin, distribution and morphological characteristics were recorded. Meanwhile, analysis of the spring ligament in different scanning planes of the MRI images were carried out. Results The spring ligament is made up of the superomedial calcaneonavicular ligament, the medioplantar oblique calcaneonavicular ligament and the inferoplantar longitudinal calcaneonavicular ligament, which originated from the sustentaculum tali of the calcaneus, and attached to the superomedial aspect of the navicular bone,the bottom of the navicular tuberosity and the navicular beak, respectively. The spring ligament could be displayed clearly on MRI, which was a low signal on T1 and T2 weighted images, and it is better displayed on the sagittal and transverse planes. Conclusion Spring ligament is an important complex of ligamentaneous structures in bearing the head of talus, which has a great significance in maintaining the longitudinal arch of the foot. MR can be used as a diagnostic tool when the spring ligament is injured.
Key words： Spring ligament; Talocalcaneonavicular joint; Arch; Anatomy
YU Yong-Xin , LIU Kai , SHAO Gong-Yan , CHANG Ru-Guo . Anatomical observation and MRI analysis of the spring ligament[J]. Chinese Journal of Clinical Anatomy, 2014 , 32(3) : 288 -291 . DOI: 10.13418/j.issn.1001-165x.2014
[1] Imhauser CW, Siegler S, Abidi NA,et al. The effect of posterior tibialis tendon dysfunction on the plantar pressure characteristics and the kinematics of the arch and the hindfoot
[J]. Clin Biomech(Bristol, Avon),2004,19(2):161-169.
[2] Mann RA, Thompson FM. Rupture of the posterior tibial tendon causing flat foot
[J]. J Bone Joint Surg Am,1985,67(4):556-561.
[3] Davis WH，Sobel M，DiCarlo EF. Gross, histological and microvascular anatomy and biomechanical testing of the spring ligament complex
[J]. Foot Ankle Int,1996,17(2): 95-102.
[4] Deland JT.The adult acquired flatfoot and spring ligament complex: pathology and implications for treatment
[J].Foot Ankle Clin,2001,6(1): 129-135.
[5] Taniguchi A, Tanaka Y, Takakura K, et al. Anatomy of the spring ligament
[J]. J Bone Joint Surg Am,2003,85(11):2174-2178.
[6] Resnick D, Kang HS, Pretterklieber ML. Internal derangements of joints
[M].2nd ed,2nd vol.Philadelphia,PA: Saunders,2007:2012.
[7] Yao L, Gentilli A, Cracchiolo A. MR imaging findings in spring ligament insufficiency
[J]. Skeletal Radiol,1999,28(5):245-250.
[8] Toye LR, Helms CA, Hoffman BD, et al. MRI of spring ligament tears
[J].AJR, 2005,184(5):1475-1480.
[9] Rule J, Yao L, Seeger LL. Spring ligament of the ankle:normal MR anatomy
[J]. AJR,1993,161(6):1241-1244.
[10]Huang CK, Kitaoka HB, An KN, et al.Biomechanical evaluation of longitudinal arch stability
[J]. Foot Ankle,1993,14(6):353-357.
[11]俞光荣，陈雁西，张世民，等.胫骨后肌腱功能障碍的手术治疗
[J].中华骨科杂志，2005，26(11)：765-768.
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