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Spring ligament rupture

Discussion in 'General Issues and Discussion Forum' started by m.e. mcgowan, Jun 2, 2010.

  1. m.e. mcgowan

    m.e. mcgowan Member


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    could someone help me I have a patient with a torn spring ligament conformed by MRI . I have never treated before but would conservative tx. be the way to go ? I'll refer if sx. is the way. thanks for any help. m.e.
     
  2. Simon Spooner

    Simon Spooner Well-Known Member

    Re: spring ligament

    What caused the spring ligament rupture? Commonly tearing of the spring ligament is associated with posterior tibialis dysfunction and acquired flat foot. In these type of feet I would tend to go toward a polyprop device with a medial heel skive, deep heel cup, high medial / lateral flange and an internal oblique extrinsic rearfoot post design. High top boots are usually helpful too. Any photo's of the feet?

    Surgical repair is an option.. http://www.jbjs.org.uk/cgi/reprint/79-B/4/641.pdf
     
  3. Alex Adam

    Alex Adam Well-Known Member

    The spring Lig is supported by the medial process of the cuboid at a point just prior to and through to propusion. If you can find a lab to produce an original Root device, as set down in the original texts, and take a suspension cast holding STJ neutral while capturing MTP position you should note inprovment within 2 weeks and full repair within 12 weeks.
    I have had 4 cases over the past 12 months with this success.
    Hope this helps.
     
  4. mike weber

    mike weber Well-Known Member

  5. m.e. mcgowan

    m.e. mcgowan Member

    Re: spring ligament

    simon, i was treating her heel pain/plantarfasciiitis of the contralateral limb and it was not improving therefore mri spring lig. rupture was finding of the asymptomatic foot she does not have a collapsed arch as with pttd but does pronate. I'm going with the polyprop device and treating conservatively. thanks so much for your reply and help.
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Anatomic Reconstruction Technique for a Plantar Calcaneonavicular (Spring) Ligament Tear
    Ezequiel Palmanovich et al
    JFAS; Article in Press
     
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