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Superomedial calcaneonavicular
78%
549/706
Dorsal cuneonavicular
8%
58/706
Dorsal intercuneiform
3%
21/706
Dorsal calcaneocuboid
56/706
Anterior tibiofibular
2%
14/706
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The spring ligament (calcaneonavicular) extends from the anterior aspect of the sustentaculum tali to the plantar medial surface of the navicular, supporting the plantar medial margin of the talar head. The spring ligament has two components: superomedial calcaneonavicular ligament and inferior calcaneonavicular ligament, the former of which is commonly attenuated or torn in patients with an adult-acquired flatfoot deformity. The distal portion of the deltoid ligament blends into the spring ligament and is also frequently attenuated in patients with this foot deformity. Dorsal intertarsal ligaments and the anterior tibiofibular ligament of the ankle are not affected.
4.4
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