The medial talocalcaneal ligament connects the medial talar tubercle to the sustentaculum tali of the calcaneus, forming the medial subtalar constraint.
Resists subtalar eversion and lateral translation of the calcaneus, provides medial subtalar stability, and complements the deltoid ligament system in preventing hindfoot valgus.
Medial talocalcaneal ligament involvement in progressive flatfoot deformity contributes to hindfoot valgus. Its assessment is part of the medial ankle-hindfoot evaluation in stage II-III PTTD.
Medial subtalar constraint insufficiency contributing to hindfoot valgus in progressive collapsing foot deformity, addressed as part of comprehensive flatfoot reconstruction.
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