Domzalski Marcin, Kwapisz Adam, Król Aleksander, Jedrzejewski Kazimierz
Klinika Ortopediii Ortopedii Dziecicej II Katedry Ortopedii, Uniwersytet Medyczny w Lodzi.
Chir Narzadow Ruchu Ortop Pol. 2007 Jul-Aug;72(4):265-8.
Acquired adult flat foot, despite numerous research projects, is a controversial clinical entity. Recently the role of plantar calcaneonavicular ligament complex (spring ligament) in stabilization of the longitudinal arch of the foot has drawn an attention. Since there are differences in anatomical description of his complex in the literature, the main aim of our study was to anatomically evaluate this complex. Ten cadaver feet were examined. In four cases spring ligament complex comprised two components: superomedial calcaneonavicular ligament and inferior calcaneonavicular ligament. In six cases complex was composed of three ligaments and we were able to identify structure of the third ligament. In this subgroup in two cases the spring ligament had its own fibrocartilage surface connected by tiny fibrous band with fibrocartilage articular surface. In summary, the spring ligament complex comprises superomedial calcaneonavicular ligament and inferior calcaneonavicular ligament. In majority of cases one can distinguish structure of the third ligament.
尽管有众多研究项目，但获得性成人扁平足仍是一个存在争议的临床实体。最近，跟舟跖侧韧带复合体（弹簧韧带）在维持足纵弓稳定中的作用受到了关注。由于文献中对该复合体的解剖描述存在差异，我们研究的主要目的是对其进行解剖学评估。我们检查了10具尸体足。在4例中，弹簧韧带复合体由两个部分组成：跟舟内侧上韧带和跟舟下韧带。在6例中，复合体由三条韧带组成，我们能够识别出第三条韧带的结构。在这个亚组中，有2例弹簧韧带具有自身的纤维软骨表面，通过细小的纤维带与纤维软骨关节面相连。总之，弹簧韧带复合体包括跟舟内侧上韧带和跟舟下韧带。在大多数情况下，可以区分出第三条韧带的结构。
