0:01

Let's go with the most favored nation status for the deltoid,

0:06

which is the foot in the neutral projection, coronal projection.

0:11

So this is T1 on the left, T2 on the right.

0:15

We're in the back, and we're gonna start to roll forward.

0:19

So as we roll forward, we see this ligament right here, which

0:24

is the tibiotalar ligament, which is in the back, also known as the

0:29

posterior tibiotalar ligament.

0:31

And these fibers are the deep posterior fibers of the deltoid.

0:37

Remember that the deltoid deep fibers are very simple.

0:40

There's posterior fibers, there's anterior fibers, and they course obliquely from

0:45

proximal, supra medial, to inferior, and more lateral onto the talus.

0:53

So not complex.

0:55

Also remember one other thing.

0:57

The deep fibers never tear without the superficial fibers tearing first.

1:03

So, we're in the back, tibiotalar fibers, which means as we move forward, we should

1:08

start to see more anterior fibers of the deep deltoid, but we should also run

1:13

smack dab into the next superficial group, and we do the tibio calcaneal ligament.

1:22

Oh, there it is.

1:23

She's a beauty.

1:25

But what's on top of it?

1:26

Another layer.

1:28

Well, that's not a ligament, even though it's called the Liciniate ligament.

1:33

It's the medial retinaculum, the superficial covering

1:37

of the tarsal tunnel space.

1:40

Let's keep going, shall we?

1:42

The next ligament that we should run into is the all important

1:46

superficial tibial spring ligament.

1:49

And here it comes, right there.

1:52

I'm going to draw on it on the next image, right now.

1:56

This is the tibial spring ligament.

1:58

It runs into the spring ligament.

2:00

Which helps supports the arch of the foot and the spring ligament

2:06

is gonna be coming at you.

2:08

So this is a bone to ligamentous attachment, A ligament to

2:14

ligamentous attachment.

2:15

One of the few you're gonna find in the body and of the superficial ligaments.

2:20

This one's the most important.

2:22

Let's keep going, shall we?

2:23

More of the tibio spring ligament.

2:26

There's the spring ligament.

2:28

There's the Tibio spring ligament.

2:30

Let's keep going.

2:31

Still more spring ligament.

2:34

Now it's a little hard to see the ligaments, they're a little wispy

2:36

looking, and just as we get to the tip of the navicular, very tough to

2:40

see, is the tibio navicular ligament, which is of lesser importance, the

2:45

most anterior of the superficial group.

2:49

So now let's work our way from front to back.

2:51

Tibio navicular, tibio navicular, tibio spring, and the spring ligament, tibio

3:00

calcaneal, and finally in the back.

3:03

Tibio Taylor.

3:05

And deep to these will be the posterior deep and the anterior deep.

3:11

It's actually easier than you thought.