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Spring ligament rupture

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Old 1st June 2010, 05:20 PM
m.e. mcgowan m.e. mcgowan is offline
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Question Spring ligament rupture

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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.
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Old 2nd June 2010, 02:39 AM
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Default Re: spring ligament

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Originally Posted by m.e. mcgowan View Post
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.
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
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Old 3rd June 2010, 04:12 AM
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Default Re: Spring ligament rupture

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.
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Old 4th June 2010, 03:40 AM
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Default Re: Spring ligament rupture

M.E

heres a thread which maybe of interst Spring ligament thread
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Old 5th June 2010, 05:36 AM
m.e. mcgowan m.e. mcgowan is offline
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Default Re: spring ligament

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Originally Posted by Simon Spooner View Post
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
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.
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