Medial Column Breakdown
This website publishes thoughts from Ian Engelman (MS, CPO) presenting a perspective on, and a theory of, medial column breakdown (ie, ligamentous failure), based on observation and experience while designing more than 15,000 ankle–foot orthoses by working with 3-dimensional plaster models. Ian is the Owner & President of Insightful Products, LLC. and the developer of a patented AFO brace for medial column breakdown.
Lateral Foot Dislocation


Deltoid Ligament Failure
Talar Escape


Spring (Plantar CalcaneoNavicular) Ligamentous Failure
Mid-Column Collapse


Cuneonavicular Ligamentous Failure
Lisfranc Breakdown


Tarsometatarsal Ligamentous Failure
Lateral Column Flatfoot


Long Plantar Ligamentous Failure
BLAZEⓇ MI for Medial Column Breakdown
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