Comparison of Sonography and Magnetic Resonance Imaging for Spring Ligament Abnormalities

Journal of Ultrasound in MedicineVolume 27, Issue 8 p. 1145-1152 Article Comparison of Sonography and Magnetic Resonance Imaging for Spring Ligament Abnormalities Preliminary Study Srinivasan Harish MB, BS, FRCPC, Srinivasan Harish MB, BS, FRCPC [email protected] Departments of Diagnostic Imaging, St Joseph's Healthcare, Hamilton, Ontario, CanadaSearch for more papers by this authorDinesh Kumbhare MD, FRCPC, Dinesh Kumbhare MD, FRCPC Department of Physical Medicine and Rehabilitation, St Joseph's Healthcare, Hamilton, Ontario, CanadaSearch for more papers by this authorJohn O'Neill MB, BCh, FRCR, John O'Neill MB, BCh, FRCR Departments of Diagnostic Imaging, St Joseph's Healthcare, Hamilton, Ontario, CanadaSearch for more papers by this authorTerry Popowich BSc, RDMS, Terry Popowich BSc, RDMS Departments of Diagnostic Imaging, St Joseph's Healthcare, Hamilton, Ontario, CanadaSearch for more papers by this author Srinivasan Harish MB, BS, FRCPC, Srinivasan Harish MB, BS, FRCPC [email protected] Departments of Diagnostic Imaging, St Joseph's Healthcare, Hamilton, Ontario, CanadaSearch for more papers by this authorDinesh Kumbhare MD, FRCPC, Dinesh Kumbhare MD, FRCPC Department of Physical Medicine and Rehabilitation, St Joseph's Healthcare, Hamilton, Ontario, CanadaSearch for more papers by this authorJohn O'Neill MB, BCh, FRCR, John O'Neill MB, BCh, FRCR Departments of Diagnostic Imaging, St Joseph's Healthcare, Hamilton, Ontario, CanadaSearch for more papers by this authorTerry Popowich BSc, RDMS, Terry Popowich BSc, RDMS Departments of Diagnostic Imaging, St Joseph's Healthcare, Hamilton, Ontario, CanadaSearch for more papers by this author First published: 01 August 2008 https://doi.org/10.7863/jum.2008.27.8.1145Citations: 28 Address correspondence to Srinivasan Harish, MB, BS, FRCPC, Department of Diagnostic Imaging, St Joseph’s Healthcare, Hamilton, ON L8N 4A6, Canada. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Objective. The purpose of this study was to determine whether sonography is as accurate as magnetic resonance (MR) imaging for depicting abnormalities of the spring ligament in patients with symptomatic posterior tibial tendon (PTT) dysfunction. Methods. Sixteen patients (18 ligaments) with symptomatic PTT dysfunction were prospectively evaluated with sonography and MR imaging. Results. Magnetic resonance imaging showed spring ligament tears in 8 of 18 feet, including 6 incomplete tears and 2 complete tears. Sonography showed spring ligament tears in 7 of 18 feet, including 6 incomplete tears and 1 complete tear. The findings of sonography and MR imaging were concordant in 17 of 18 feet (94%). Six of the 8 spring ligament tears on MR imaging were associated with posterior tibial tendinosis or tears. Conclusions. Sonography is an effective imaging option in assessing spring ligament abnormalities in patients with symptomatic PTT dysfunction. Supporting Information Filename Description puzzle.pdfPDF document, 154.3 KB Adobe PDF - puzzle.pdf solution.pdfPDF document, 368.4 KB Adobe PDF - solution.pdf Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article. References 1Gazdag AR, Cracchiolo A III. Rupture of the posterior tibial tendon: evaluation of injury of the spring ligament and clinical assessment of tendon transfer and ligament repair. J Bone Joint Surg Am 1997; 79: 675–681. 2Nallamshetty L, Nazarian LN, Schweitzer ME, et al. Evaluation of posterior tibial pathology: comparison of sonography and MR imaging. Skeletal Radiol 2005; 34: 375–380. 3Yao L, Gentili A, Cracchiolo A. MR imaging findings in spring ligament insufficiency. Skeletal Radiol 1999; 28: 245–250. 4Balen PF, Helms CA. Association of posterior tibial tendon injury with spring ligament injury, sinus tarsi abnormality, and plantar fasciitis on MR imaging. AJR Am J Roentgenol 2001; 176: 1137–1143. 5Toye LR, Helms CA, Hoffman BD, Easley M, Nunley JA. MRI of spring ligament tears. AJR Am J Roentgenol 2005; 184: 1475–1480. 6Harish S, Jan E, Finlay K, et al. Sonography of the supero-medial part of the spring ligament complex of the foot: a study of cadavers and asymptomatic volunteers. Skeletal Radiol 2007; 36: 221–228. 7Mansour R, Ostlere S, Sharp R, Teh J. Ultrasound of the spring ligament complex: findings in healthy volunteers and patients with posterior tibial tendinopathy. Poster presented at: 13th Annual Meeting of the European Society of Skeletal Radiology; June 9–10, 2006; Bruges, Belgium. 8Brandon CJ, Labib S. Painful flat feet: normal and abnormal ultrasound findings. Paper presented at: 106th Annual Meeting of the American Roentgen Ray Society; April 30–May 5, 2006; Vancouver, British Columbia, Canada. 9Mengiardi B, Zanetti M, Schöttle PB, et al. Spring ligament complex: MR imaging-anatomic correlation and findings in asymptomatic subjects. Radiology 2005; 237: 242–249. 10Johnson KA, Strom DE. Tibialis posterior tendon dysfunction. Clin Orthop Relat Res 1989; 239: 196–206. 11Borton DC, Saxby TS. Tear of the plantar calcaneonavicular (spring) ligament causing flatfoot: a case report. J Bone Joint Surg Br 1997; 79: 641–643. 12Kavanagh EC, Koulouris G, Gopez A, Zoga A, Raikin S, Morrison WB. MRI of rupture of the spring ligament complex with talo-cuboid impaction. Skeletal Radiol 2007; 36: 555–558. 13Conti S, Michelson J, Jahss M. Clinical significance of magnetic resonance imaging in preoperative planning for reconstruction of posterior tibial tendon ruptures. Foot Ankle 1992; 13: 208–214. 14Chen JP, Allen AM. MR diagnosis of traumatic tear of the spring ligament in a pole vaulter. Skeletal Radiol 1997; 26: 310–322. 15Deland JT, de Asla RJ, Sung IH, Ernberg LA, Potter HG. Posterior tibial tendon insufficiency: which ligaments are involved? Foot Ankle Int 2005; 26: 427–435. 16Patil V, Ebraheim NA, Frogameni A, Liu J. Morphometric dimensions of the calcaneonavicular (spring) ligament. Foot Ankle Int 2007; 28: 927–932. Citing Literature Volume27, Issue8August 2008Pages 1145-1152 ReferencesRelatedInformation