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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.

 

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

 

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.

 

M.E

heres a thread which maybe of interst Spring ligament thread

 

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.

 

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