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The Deltoid-Spring Ligament Complex: A Scoping Review and New Segmental Classification.

Andrey Bilyy1, Wai Wai Win Mar2, Zain Al Abdeen Al Zuabi2

  • 1Plastic and Reconstructive Surgery, Chelsea and Westminster Hospital, London, GBR.

Cureus
|May 5, 2025
PubMed
Summary

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This summary is machine-generated.

This study proposes describing the deltoid and spring ligaments as a single "deltoid-spring ligament complex" to clarify anatomical descriptions. This unified approach aids in understanding ankle ligament variations and clinical assessment.

Area of Science:

  • Anatomy
  • Orthopedics
  • Biomechanics

Background:

  • The deltoid and spring ligaments are crucial for ankle stability.
  • Existing anatomical descriptions vary, leading to potential confusion in clinical practice and research.

Purpose of the Study:

  • To review anatomical descriptions of deltoid and spring ligament bands.
  • To propose a novel, unified nomenclature for these structures.

Main Methods:

  • Systematic literature review of cadaveric dissection studies.
  • Inclusion of studies measuring deltoid and spring ligament components.
  • Exclusion of non-cadaveric, surgical, or radiological studies without dissection.

Main Results:

  • Analysis of 24 studies involving 528 ankles.
Keywords:
ankleankle and footdeltoid ligamentdeltospring complexmedial collateral ligamentspring ligament

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  • Proposed description of the deltoid-spring ligament complex.
  • Identification of distinct deep deltoid and superficial deltospring ligaments.
  • Delineation of the superficial deltospring ligament into segments for clinical assessment.

    • Conclusions:

    • The deltoid and spring ligaments should be described as a single "deltoid-spring ligament complex".
    • This complex exhibits variable morphology (triangular, trapezoidal, rectangular).
    • A unified description enhances clarity in anatomical understanding and clinical evaluation of ankle structures.