Tibialis posterior tendon and deltoid and spring ligament injuries in the elite athlete.

Bill Ribbans, Ajit Garde

Research output: Contribution to JournalArticlepeer-review


Isolated deltoid ligament injuries account for no more than 3% to 4% of all ankle ligament injuries.

Acute isolated deltoid ligament injuries promptly diagnosed can usually be treated conservatively.

Untreated acute tears of the spring ligament in the athlete can lead to progressive deformity similar to tibialis posterior dysfunction.

There is little place for conservative treatment of complete acute spring ligament tears in the elite athlete; minor tears with no deformity may be considered for cast immobilization.

For tibialis tendon problems, most insertional and early tendon abnormalities can be treated conservatively with attention to underlying biomechanical and technical deficits.

Surgical interventions should only be considered after an adequate period of assessment and conservative treatment. In the absence of significant disability, simple synovectomy and decompression may suffice.
Original languageEnglish
Pages (from-to)255-291
JournalFoot and Ankle Clinics
Issue number2
Publication statusPublished - 1 Jan 2013


  • Orthopaedics
  • Surgery
  • Foot and Ankle
  • Sports injuries
  • Ligament
  • Tendon


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