Gazdag A R, Cracchiolo A
Department of Orthopaedic Surgery, University of California at Los Angeles School of Medicine, 90095-6902, USA.
J Bone Joint Surg Am. 1997 May;79(5):675-81. doi: 10.2106/00004623-199705000-00006.
Eighteen of twenty-two patients who were having a tendon transfer to treat rupture of the posterior tibial tendon had evidence of injury to the spring ligament. The injury consisted of a longitudinal tear in the ligament in seven patients, a lax ligament without a gross tear in seven, and a complete rupture of the ligament in four. The ruptured posterior tibial tendon was treated with transfer of the flexor digitorum longus in twenty of the twenty-two patients. A variety of methods were used to repair the ligament. It is essential to determine the status of the spring ligament when patients are managed for rupture of the posterior tibial tendon. Patients who have a torn or lax spring ligament in addition to the ruptured posterior tibial tendon may have more severe abnormalities of the hindfoot than those who have only a ruptured tendon.
22例因胫后肌腱断裂而接受肌腱转移治疗的患者中，有18例存在弹簧韧带损伤的证据。损伤情况包括：7例患者韧带出现纵向撕裂，7例患者韧带松弛但无明显撕裂，4例患者韧带完全断裂。22例患者中有20例，其断裂的胫后肌腱通过转移趾长屈肌进行治疗。采用了多种方法修复韧带。在处理胫后肌腱断裂的患者时，确定弹簧韧带的状况至关重要。除了胫后肌腱断裂外，还伴有弹簧韧带撕裂或松弛的患者，其后足的异常情况可能比仅肌腱断裂的患者更为严重。
