Пролет сухожилие is generally connected with extensive degeneration of the tendon. The tendon complex may have tears or extensive deformities, or it might simply be constricted. Tears most regularly happen in the superomedial part of the spring tendon mind-boggling, adjoining the back tibial ligament, yet can happen in the second rate divide also.
It is important to take a gander at the arrangement of the foot to decide how to treat disappointment in the spring tendon. On the off chance that a flatfoot is available with expanded rear area valgus or snatching (or both) through the midfoot and there is a full tear of over 30% of the tendon or serious constriction, the danger of movement of disfigurement is high.
Anatomy of Spring Ligament
Най- Пролет сухожилие fills the hard hole between the front piece of the calcaneus and the navicular bone. медиално, the spring tendon is bolstered by neither bet nor filaments of the shallow deltoid tendon with which it mixes. The back tibial ligament runs shallow to the Tibia spring filaments. The plantar extension of the back tibial ligament gives some help to the substandard parts of the spring tendon.
По страна, на Пролет сухожилие is coterminous with the average band of the bifurcate tendon, incidentally isolated from it by a layer of fat. The bifurcate tendon is a Y-shaped tendon joining the average better part of the foremost calcaneus than the neighboring parts of the navicular bone and the cuboids bone. Separation wounds of the bifurcate tendon can bring about a recognizable and trademark break of the unrivaled part of the front procedure of the calcaneus. Plan tan to the bifurcate tendon is the calcaneocuboid (short plantar) сухожилие.
The mind-boggling introduction of the spring ligament blocks its total portrayal in a solitary imaging plane. From an imaging viewpoint, the spring tendon can be conceptualized as comprising of two sections: an average, vertical bit (nonstop with the deltoid tendon) and a plantar, even part (adjoining with the bifurcate tendon and short plantar tendon).
This ligament not just serves to interface the calcaneus and navicular, yet underpins the leader of the bone, framing some portion of the articular depression in which it is gotten. The dorsal surface of the tendon exhibits a fibrocartilaginous aspect, lined by the synovial film, and upon this, a part of the leader of the bone rests. Its plantar surface is upheld by the ligament of the Tibialis back. Its average outskirt is mixed with the forepart of the deltoid tendon of the lower leg joint.
The plantar calcaneonavicular ligament, by supporting the leader of the bone, is essentially worried about keeping up the curve of the foot. When it yields, the leader of the bone is squeezed descending, medical ward, and forward by the heaviness of the body, and the foot winds up straightened, extended, and turned lateralward, and displays the condition known as flat-foot. This tendon contains a lot of versatile filaments, in order to offer flexibility to the curve and spring to the foot; впоследствие, it is some of the time called the “spring” сухожилие. It is bolstered, on its plantar surface, by the ligament of the Tibialis back, which spreads out at its addition into various fascicules, to be appended to the greater part of the tarsal and metatarsal bones. This counteracts undue extending of the tendon, and is an assurance against the event of a level foot; henceforth strong shortcoming is, by and large, the essential driver of the disfigurement.