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Spring Ligament Injury
Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Plantar calcaneonavicular ligament

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Relevant Anatomy

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Orr JD et al: Isolated spring ligament failure as a cause of adult-acquired flatfoot deformity. Foot Ankle Int. 34(6):818-23, 2013
                                      2. Williams G et al: MRI features most often associated with surgically proven tears of the spring ligament complex. Skeletal Radiol. 42(7):969-73, 2013
                                      3. Melão L et al: Ligaments of the transverse tarsal joint complex: MRI-anatomic correlation in cadavers. AJR Am J Roentgenol. 193(3):662-71, 2009
                                      4. Harish S et al: Comparison of sonography and magnetic resonance imaging for spring ligament abnormalities: preliminary study. J Ultrasound Med. 27(8):1145-52, 2008
                                      5. Kavanagh EC et al: MRI of rupture of the spring ligament complex with talo-cuboid impaction. Skeletal Radiol. 36(6):555-8, 2007
                                      6. Subhas N et al: Diagnosis: isolated spring ligament tear demonstrated on magnetic resonance imaging. Orthopedics. 30(1):1, 70-2, 2007
                                      7. Mengiardi B et al: Spring ligament complex: MR imaging-anatomic correlation and findings in asymptomatic subjects. Radiology. 237(1):242-9, 2005
                                      8. Toye LR et al: MRI of spring ligament tears. AJR Am J Roentgenol. 184(5):1475-80, 2005
                                      9. Balen PF et al: Association of posterior tibial tendon injury with spring ligament injury, sinus tarsi abnormality, and plantar fasciitis on MR imaging. AJR Am J Roentgenol. 176(5):1137-43, 2001
                                      10. Yao L et al: MR imaging findings in spring ligament insufficiency. Skeletal Radiol. 28(5):245-50, 1999
                                      11. Davis WH et al: Gross, histological, and microvascular anatomy and biomechanical testing of the spring ligament complex. Foot Ankle Int. 17(2):95-102, 1996
                                      12. Rule J et al: Spring ligament of the ankle: normal MR anatomy. AJR Am J Roentgenol. 161(6):1241-4, 1993
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Synonyms

                                                • Plantar calcaneonavicular ligament

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Relevant Anatomy

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Orr JD et al: Isolated spring ligament failure as a cause of adult-acquired flatfoot deformity. Foot Ankle Int. 34(6):818-23, 2013
                                                                          2. Williams G et al: MRI features most often associated with surgically proven tears of the spring ligament complex. Skeletal Radiol. 42(7):969-73, 2013
                                                                          3. Melão L et al: Ligaments of the transverse tarsal joint complex: MRI-anatomic correlation in cadavers. AJR Am J Roentgenol. 193(3):662-71, 2009
                                                                          4. Harish S et al: Comparison of sonography and magnetic resonance imaging for spring ligament abnormalities: preliminary study. J Ultrasound Med. 27(8):1145-52, 2008
                                                                          5. Kavanagh EC et al: MRI of rupture of the spring ligament complex with talo-cuboid impaction. Skeletal Radiol. 36(6):555-8, 2007
                                                                          6. Subhas N et al: Diagnosis: isolated spring ligament tear demonstrated on magnetic resonance imaging. Orthopedics. 30(1):1, 70-2, 2007
                                                                          7. Mengiardi B et al: Spring ligament complex: MR imaging-anatomic correlation and findings in asymptomatic subjects. Radiology. 237(1):242-9, 2005
                                                                          8. Toye LR et al: MRI of spring ligament tears. AJR Am J Roentgenol. 184(5):1475-80, 2005
                                                                          9. Balen PF et al: Association of posterior tibial tendon injury with spring ligament injury, sinus tarsi abnormality, and plantar fasciitis on MR imaging. AJR Am J Roentgenol. 176(5):1137-43, 2001
                                                                          10. Yao L et al: MR imaging findings in spring ligament insufficiency. Skeletal Radiol. 28(5):245-50, 1999
                                                                          11. Davis WH et al: Gross, histological, and microvascular anatomy and biomechanical testing of the spring ligament complex. Foot Ankle Int. 17(2):95-102, 1996
                                                                          12. Rule J et al: Spring ligament of the ankle: normal MR anatomy. AJR Am J Roentgenol. 161(6):1241-4, 1993