Domzalski Marcin, Kwapisz Adam, Zabierek Sebastian
J Am Podiatr Med Assoc. 2019 Sep;109(5):407-411. doi: 10.7547/18-027.
The spring ligament fibrocartilage complex (SLFC) is an important static foot stabilizer comprising the superomedial ligament (SML) and the inferior ligament, with anatomical variations (third ligament). The aim of this study was to describe the patterns of the lesions found during SLFC surgery, to allow direct comparison between the results with various surgical techniques.
Fourteen consecutive patients with SLFC lesions were analyzed during surgical treatment. The mean patient age was 37.3 years, and the mean time from injury was 6.9 months. Intraoperative assessments and anatomical descriptions of the lesions were collected.
Three types of lesion were found. In 13 of 14 cases, only the superomedial ligament was involved: five superomedial ligament distentions and eight superomedial ligament ruptures. In one case, total SLFC (superomedial and inferior ligaments) rupture was observed.
The first classification of SLFC lesions is presented, which is simple, consistent, and based on anatomical description.
弹簧韧带纤维软骨复合体（SLFC）是一种重要的足部静态稳定结构，由超内侧韧带（SML）和下韧带组成，存在解剖变异（第三韧带）。本研究的目的是描述在SLFC手术中发现的病变模式，以便对各种手术技术的结果进行直接比较。
对14例连续的SLFC病变患者进行手术治疗分析。患者平均年龄为37.3岁，受伤平均时间为6.9个月。收集术中对病变的评估和解剖描述。
发现三种类型的病变。在14例中的13例中，仅超内侧韧带受累：5例超内侧韧带扩张和8例超内侧韧带断裂。在1例中，观察到SLFC（超内侧和下韧带）完全断裂。
提出了SLFC病变的首次分类，该分类简单、一致且基于解剖描述。
