Deltoid-Spring Ligament Complex and Medial Ankle Instability, An issue of Foot and Ankle Clinics of North America

1st Edition, Volume 26-2 - May 17, 2021
Editors: Gaston A. Slullitel, Roxa Ruiz
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 2 3 0 - 1
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 2 3 1 - 8

This issue of Foot and Ankle Clinics, guest edited by Dr. Roxa Ruiz and Gaston Slullitel, will discuss Deltoid Spring Ligament Complex and Medial Ankle Instability. This issue is… Read more

Deltoid-Spring Ligament Complex and Medial Ankle Instability, An issue of Foot and Ankle Clinics of North America

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This issue of Foot and Ankle Clinics, guest edited by Dr. Roxa Ruiz and Gaston Slullitel, will discuss Deltoid Spring Ligament Complex and Medial Ankle Instability. This issue is one of four selected each year by long-time series Consulting Editor, Dr. Mark Myerson. Topics in this issue will include: Anatomy of deltoid-spring ligament complex, Biomechanics of medial ankle and peritalar instability, Imaging of peritalar instability, Clinical appearance of medial ankle instability, Arthroscopic assessment and treatment of medial ankle instability, Current concepts in treatment of acute medial ankle instability, State of the art in treatment of chronic medial ankle instability, Current trends in treatment of injuries to spring ligament, Deltoid rupture in ankle fracture, Current concepts in treatment of ligament incompetence in the acquired flatfoot, and The failed deltoid ligament in the valgus misaligned ankle.

Cover image
Title page
Table of Contents
Copyright
Contributors
Editorial Advisory Board
Forthcoming Issues
Preface
Preface
Editorial
Anatomy of the Deltoid-Spring Ligament Complex
Key points
Introduction
Anatomy
Summary
Biomechanics of Medial Ankle and Peritalar Instability
Key points
Introduction
Anatomy of the deltoid-spring ligament complex
Biomechanics of the deltoid and spring ligaments
Biomechanics of medial ankle instability
Biomechanics of medial peritalar instability
Clinical implications
Summary
Clinics care points
Disclosure
Imaging of Peritalar Instability
Key points
Introduction
Conventional plain radiographs
Computed tomography/weightbearing computed tomography
Magnetic resonance imaging
Summary
Clinics care points
Disclosure
Clinical Appearance of Medial Ankle Instability
Key points
Introduction
History—injury mechanism
Clinical findings
Summary
Clinics care points
Disclosure
Arthroscopic Assessment and Treatment of Medial Collateral Ligament Complex
Key points
Introduction
Clinical presentation
Arthroscopic assessment
Arthroscopic treatment
Results
Summary
Current Concepts in Treatment of Acute Deltoid Instability
Key points
Critical treatment highlights
Background
Pathophysiology
Patient evaluation overview
Elements for decision making
Authors’ preferred method of treatment
Surgical treatment
Complications
New developments
Treatment evidence
Clinics care points
State of the Art in Treatment of Chronic Medial Ankle Instability
Key points
Introduction
Summary and future perspectives
Clinics care points
Current Trends in Treatment of Injuries to Spring Ligament
Key points
Introduction
The problem
Clinical background and diagnosis
Traumatic and isolated injuries
Associated injuries (progressive collapsing flatfoot deformity and/or other chronic injuries)
Repair or reconstruct
Treatment
Direct repair
Repair with internal brace
Spring and deltoid ligament–associated lesions
Reconstruction of the spring ligament
Postoperative care
Summary
Clinics care point
Deltoid Rupture in Ankle Fractures: To Repair or Not to Repair?
Key points
Introduction
Epidemiology
Diagnosis and imaging
Treatment
Surgical technique
Complications of deltoid repair
Complications of not suturing the deltoid
Future directions
Summary
Clinics care points
Current Concepts in Treatment of Ligament Incompetence in the Acquired Flatfoot
Key points
Introduction
Biomechanical background
Flexible flatfoot instability analysis
Flexible flatfoot instability treatment
Summary
Clinics care points
The Failed Deltoid Ligament in the Valgus Misaligned Ankle—How to Treat?
Key points
Introduction
Biomechanical thoughts on deltoid ligament function
Analysis of the failed deltoid ligament
Preparing to solve the problem of a failed deltoid ligament
Treatment of the chronically failed deltoid ligament
Additional surgeries
Thoughts on total ankle arthroplasty in a valgus ankle
Outcomes of deltoid reconstruction in the literature
Summary

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Gaston A. Slullitel

Roxa Ruiz