Sirlyn Quanson
Capital Radiology Vermont South Victoria Australia.
Australas J Ultrasound Med. 2017 May 23;20(2):83-90. doi: 10.1002/ajum.12050. eCollection 2017 May.
Adult-acquired flatfoot deformity (AAFD), a condition commonly caused by tibialis posterior tendon (TPT) dysfunction, has recently been recognised to encompass a spectrum of other deformities, including the disruption of the spring ligament complex. This case series reviews eight examples of chronic AAFD, outlines the sonographic assessment of the TPT and spring ligament and depicts various abnormalities of the TPT and spring ligament that are relevant to AAFD. The importance to always include the spring ligament during the assessment of AAFD will be addressed, as misdiagnosis of the involvement of the spring ligament could lead to inappropriate operative management.
成人获得性平足畸形（AAFD）通常由胫后肌腱（TPT）功能障碍引起，最近被认为包含一系列其他畸形，包括弹簧韧带复合体的断裂。本病例系列回顾了8例慢性AAFD病例，概述了TPT和弹簧韧带的超声评估，并描述了与AAFD相关的TPT和弹簧韧带的各种异常情况。将探讨在评估AAFD时始终纳入弹簧韧带的重要性，因为弹簧韧带受累的误诊可能导致不适当的手术治疗。
