Literature review and update plantar calcaneonavicular ligament

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Published: Feb 11, 2016

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  • Marina Ballesteros-Mora
  • María Reina-Bueno
  • Manuel Coheña-Jiménez
  • Guillermo Lafuente-Sotillos
  • Aurora Castro-Méndez
Marina Ballesteros-Mora
María Reina-Bueno
Manuel Coheña-Jiménez
Guillermo Lafuente-Sotillos
Aurora Castro-Méndez
Vol. 1 No. 1 (2015), Especial Communication, pages 21-26
DOI: https://doi.org/10.17979/ejpod.2015.1.1.1468
Submitted: Feb 11, 2016 Accepted: Feb 11, 2016 Published: Feb 11, 2016
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Abstract

Objectives: The main objective is to review the literature described, if acquired flatfoot adult calcaneonavicular insufficient plantar ligament is the primary factor or, on the contrary, due to the failure of the posterior tibial tendon.

Methods: In the literature atlas of anatomy and biomechanics of the foot manuals are analyzed. It has also established a set of criteria for inclusion and exclusion; from which 46 have been selected scientific publications of interest, identified in different databases.

Results: The calcaneonavicular ligament has been recognized as the main static structure that maintains the stability of the medial longitudinal arch. It can injure in isolation or associated with posterior tibial. That calcaneonavicular plantar ligament disruption destabilizes the plantar arch, which triggers plantar flexion of the talus and calcaneal eversion alignment. The clinical result is acquired flatfoot deformity in adults.

Discussion: Multiple theories debate whether flatfoot deformity acquired or not of the posterior tibial tendon insufficiency or is secondary to the injury of ligamentous structures.

Conclusions: Calcaneonavicular ligament or ligament Spring planting is the main passive structure that holds the static stability of the medial longitudinal arch, which contributes to the support of the head of the talus and provides balance in the talocalcaneonavicular joint. If the ligament injury is not going to evolve towards an acquired flatfoot in adults.

Keywords:

ligaments, posterior tibial tendon dysfunction, flatfoot.

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