{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:19Z","timestamp":1783509259321,"version":"3.55.0"},"reference-count":18,"publisher":"MDPI AG","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The first classification of SLFC lesions is presented, which is simple, consistent, and based on anatomical description.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7547\/18-027","type":"journal-article","created":{"date-parts":[[2019,10,10]],"date-time":"2019-10-10T09:51:35Z","timestamp":1570701095000},"page":"407-411","source":"Crossref","is-referenced-by-count":3,"title":["Morphology of Spring Ligament Fibrocartilage Complex Lesions"],"prefix":"10.3390","volume":"109","author":[{"given":"Marcin","family":"Domzalski","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Trauma, Veterans Memorial Hospital, Medical University of Lodz, Lodz, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Kwapisz","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Pediatric Orthopedics, Medical University of Lodz, Lodz, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Zabierek","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma, Veterans Memorial Hospital, Medical University of Lodz, Lodz, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-109-5-407-b01","series-title":"AJR Am J Roentgenol","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.2214\/AJR.10.5167","article-title":"The spring ligament recess of the talocalcaneonavicular joint: depiction on MR images with cadaveric and histologic correlation","volume":"196","author":"Desai \n              KR,","year":"2011","unstructured":"Desai \n              KR, \n            \n            \n              Beltran \n              LS, \n            \n            \n              Bencardino \n              JT, \n            \n            et al: \n          The spring ligament recess of the talocalcaneonavicular joint: depiction on MR images with cadaveric and histologic correlation. AJR Am J Roentgenol196: 1145, 2011.2151208310.2214\/AJR.10.5167"},{"key":"i8750-7315-109-5-407-b02","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"927","DOI":"10.3113\/FAI.2007.0927","article-title":"Morphometric dimensions of the calcaneonavicular (spring) ligament","volume":"28","author":"Patil \n              V,","year":"2007","unstructured":"Patil \n              V, \n            \n            \n              Ebraheim \n              NA, \n            \n            \n              Frogameni \n              A, \n            \n            et al: \n          Morphometric dimensions of the calcaneonavicular (spring) ligament. Foot Ankle Int28: 927, 2007.10.3113\/FAI.2007.092717697659http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000248537100010&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-109-5-407-b03","series-title":"AJR Am J Roentgenol","doi-asserted-by":"publisher","first-page":"1241","DOI":"10.2214\/ajr.161.6.8249733","article-title":"Spring ligament of the ankle: normal MR anatomy","volume":"161","author":"Rule \n              J,","year":"1993","unstructured":"Rule \n              J, \n            \n            \n              Yao \n              L, \n            \n            \n              Seeger \n              LL: \n            \n          \n          Spring ligament of the ankle: normal MR anatomy. AJR Am J Roentgenol161: 1241, 1993.10.2214\/ajr.161.6.82497338249733"},{"key":"i8750-7315-109-5-407-b04","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"239","DOI":"10.3113\/FAI.2012.0239","article-title":"Spring ligament complex and flatfoot deformity: curse or blessing?","volume":"33","author":"Deland \n              JT.","year":"2012","unstructured":"Deland \n              JT. \n            \n          \n          Spring ligament complex and flatfoot deformity: curse or blessing?\n          Foot Ankle Int\n          33: 239, 2012.http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000301831500012&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.3113\/FAI.2012.0239"},{"key":"i8750-7315-109-5-407-b05","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1177\/1071100715572221","article-title":"An attachment-based description of the medial collateral and spring ligament complexes","volume":"36","author":"Cromeens \n              BP,","year":"2015","unstructured":"Cromeens \n              BP, \n            \n            \n              Kirchhoff \n              CA, \n            \n            \n              Patterson \n              RM, \n            \n            et al: \n          An attachment-based description of the medial collateral and spring ligament complexes. Foot Ankle Int36: 710, 2015.2571212110.1177\/1071100715572221http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000357296600015&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-109-5-407-b06","series-title":"Chir Narzadow Ruchu Ortop Pol","first-page":"265","article-title":"The role of plantar calcaneonavicular ligament complex in the development of the adult flat foot: anatomical study [in Polish]","volume":"72","author":"Domzalski \n              M,","year":"2007","unstructured":"Domzalski \n              M, \n            \n            \n              Kwapisz \n              A, \n            \n            \n              Kr\u00f3l \n              A, \n            \n            et al: \n          The role of plantar calcaneonavicular ligament complex in the development of the adult flat foot: anatomical study [in Polish]. Chir Narzadow Ruchu Ortop Pol72: 265, 2007.18078280"},{"key":"i8750-7315-109-5-407-b07","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"2174","DOI":"10.2106\/00004623-200311000-00018","article-title":"Anatomy of the spring ligament","volume":"85","author":"Taniguchi \n              A,","year":"2003","unstructured":"Taniguchi \n              A, \n            \n            \n              Tanaka \n              Y, \n            \n            \n              Takakura \n              Y, \n            \n            et al: \n          Anatomy of the spring ligament. J Bone Joint Surg Am85: 2174, 2003.1463084910.2106\/00004623-200311000-00018"},{"key":"i8750-7315-109-5-407-b08","series-title":"Biol Trace Elem Res","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1007\/s12011-011-9255-y","article-title":"Characteristics of the three ligaments of human spring ligament complex from a viewpoint of elements","volume":"146","author":"Tohno \n              Y,","year":"2012","unstructured":"Tohno \n              Y, \n            \n            \n              Tohno \n              S, \n            \n            \n              Taniguchi \n              A, \n            \n            et al: \n          Characteristics of the three ligaments of human spring ligament complex from a viewpoint of elements. Biol Trace Elem Res146: 293, 2012.2207221610.1007\/s12011-011-9255-yhttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000303407900002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-109-5-407-b09","series-title":"Emerg Radiol","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1007\/s10140-011-0945-8","article-title":"Persistent ankle pain following a sprain: a review of imaging","volume":"18","author":"Mansour \n              R,","year":"2011","unstructured":"Mansour \n              R, \n            \n            \n              Jibri \n              Z, \n            \n            \n              Kamath \n              S, \n            \n            et al: \n          Persistent ankle pain following a sprain: a review of imaging. Emerg Radiol18: 211, 2011.10.1007\/s10140-011-0945-821380512"},{"key":"i8750-7315-109-5-407-b10","series-title":"Eur Radiol","doi-asserted-by":"publisher","first-page":"2670","DOI":"10.1007\/s00330-008-1047-1","article-title":"Ultrasound assessment of the spring ligament complex","volume":"18","author":"Mansour \n              R,","year":"2008","unstructured":"Mansour \n              R, \n            \n            \n              Teh \n              J, \n            \n            \n              Sharp \n              RJ, \n            \n            et al: \n          Ultrasound assessment of the spring ligament complex. Eur Radiol18: 2670, 2008.1852377610.1007\/s00330-008-1047-1http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000259964200038&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-109-5-407-b11","series-title":"Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.fas.2007.11.005","article-title":"Acquired adult flat foot due to isolated plantar calcaneonavicular (spring) ligament insufficiency with a normal tibialis posterior tendon","volume":"14","author":"Tryfonidis \n              M,","year":"2008","unstructured":"Tryfonidis \n              M, \n            \n            \n              Jackson \n              W, \n            \n            \n              Mansour \n              R, \n            \n            et al: \n          Acquired adult flat foot due to isolated plantar calcaneonavicular (spring) ligament insufficiency with a normal tibialis posterior tendon. Foot Ankle Surg14: 89, 2008.10.1016\/j.fas.2007.11.00519083621"},{"key":"i8750-7315-109-5-407-b12","series-title":"J Bone Joint Surg Br","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1302\/0301-620X.79B4.0790641","article-title":"Tear of the plantar calcaneonavicular (spring) ligament causing flatfoot: a case report","volume":"79","author":"Borton \n              DC,","year":"1997","unstructured":"Borton \n              DC, \n            \n            \n              Saxby \n              TS: \n            \n          \n          Tear of the plantar calcaneonavicular (spring) ligament causing flatfoot: a case report. J Bone Joint Surg Br79: 641, 1997.925075610.1302\/0301-620X.79B4.0790641"},{"key":"i8750-7315-109-5-407-b13","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"148","DOI":"10.3113\/FAI.2012.0148","article-title":"Isolated spring ligament rupture causing acute flatfoot deformity: case report","volume":"33","author":"Weerts \n              B,","year":"2012","unstructured":"Weerts \n              B, \n            \n            \n              Warmerdam \n              PE, \n            \n            \n              Faber \n              FWM: \n            \n          \n          Isolated spring ligament rupture causing acute flatfoot deformity: case report. Foot Ankle Int33: 148, 2012.10.3113\/FAI.2012.014822381347http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000299766700010&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-109-5-407-b14","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1177\/1071100712460222","article-title":"Acute isolated rupture of the spring ligament: a case report and review of the literature","volume":"34","author":"Masaragian \n              HJ,","year":"2013","unstructured":"Masaragian \n              HJ, \n            \n            \n              Ricchetti \n              HO, \n            \n            \n              Testa \n              C: \n            \n          \n          Acute isolated rupture of the spring ligament: a case report and review of the literature. Foot Ankle Int34: 150, 2013.http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000314274600022&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.1177\/107110071246022223386776"},{"key":"i8750-7315-109-5-407-b15","series-title":"Foot Ankle Spec","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1177\/1938640013499404","article-title":"Anatomical reconstruction of the spring ligament complex \u201cinternal brace\u201d augmentation","volume":"6","author":"Acevedo \n              J,","year":"2013","unstructured":"Acevedo \n              J, \n            \n            \n              Vora \n              A: \n            \n          \n          Anatomical reconstruction of the spring ligament complex \u201cinternal brace\u201d augmentation. Foot Ankle Spec6: 441, 2013.2392579110.1177\/1938640013499404"},{"key":"i8750-7315-109-5-407-b16","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"1124","DOI":"10.1053\/j.jfas.2015.06.013","article-title":"Anatomic reconstruction technique for a plantar calcaneonavicular (spring) ligament tear","volume":"54","author":"Palmanovich \n              E,","year":"2015","unstructured":"Palmanovich \n              E, \n            \n            \n              Shabat \n              S, \n            \n            \n              Brin \n              YS, \n            \n            et al: \n          Anatomic reconstruction technique for a plantar calcaneonavicular (spring) ligament tear. J Foot Ankle Surg54: 1124, 2015.2625347610.1053\/j.jfas.2015.06.013http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000363825900025&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-109-5-407-b17","series-title":"AJR Am J Roentgenol","doi-asserted-by":"publisher","first-page":"1475","DOI":"10.2214\/ajr.184.5.01841475","article-title":"MRI of spring ligament tears","volume":"184","author":"Toye \n              LR,","year":"2005","unstructured":"Toye \n              LR, \n            \n            \n              Helms \n              CA, \n            \n            \n              Hoffman \n              BD, \n            \n            et al: \n          MRI of spring ligament tears. AJR Am J Roentgenol184: 1475, 2005.10.2214\/ajr.184.5.0184147515855099"},{"key":"i8750-7315-109-5-407-b18","series-title":"Skeletal Radiol","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1007\/s00256-013-1618-3","article-title":"MRI features most often associated with surgically proven tears of the spring ligament complex","volume":"42","author":"Williams \n              G,","year":"2013","unstructured":"Williams \n              G, \n            \n            \n              Widnall \n              J, \n            \n            \n              Evans \n              P, \n            \n            et al: \n          MRI features most often associated with surgically proven tears of the spring ligament complex. Skeletal Radiol42: 969, 2013.10.1007\/s00256-013-1618-323636731http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000319417000007&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/109\/5\/18-027.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/japma\/article-pdf\/109\/5\/407\/2458215\/18-027.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/109\/5\/18-027.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/109\/5\/18-027.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:17:46Z","timestamp":1783505866000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/109\/5\/407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":18,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.7547\/18-027","relation":{},"ISSN":["8750-7315","1930-8264"],"issn-type":[{"value":"8750-7315","type":"print"},{"value":"1930-8264","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}