Clinical Presentation, Imaging Features, and Management of Müller–Weiss Disease

Hermena, Shady; Francis, Monica

doi:10.7759/cureus.18659

Cited by 5 publications

(5 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…About half of the patients with MWD present with fragmentation and even splitting (cleft) with an inclination from dorsal-distal to plantar-proxi-mal or with a separate small dorsal fragment. 20 There is an increased dorsoplantar length of the navicular because of the squeezing of the bone between the lateral cuneiforms and the talar head. Condensation is frequently present, although it is sometimes the result of the superposition of the radiographic contours of the talar head and the navicular.…”

Section: Radiological Features Of Mwdmentioning

confidence: 99%

Imaging of Müller-Weiss Disease

Carrascoso

Rosa

Llopis

et al. 2023

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

Müller-Weiss disease (MWD) is the result of a dysplasia of the tarsal navicular bone. Over the adult years, the dysplastic bone leads to the development of an asymmetric talonavicular arthritis with the talar head shifting laterally and plantarly, thus driving the subtalar joint into varus. From a diagnostic point of view, the condition may be difficult to differentiate from an avascular necrosis or even a stress fracture of the navicular, but fragmentation is the result of a mechanical impairment rather than a biological dysfunction.Standardized weight-bearing radiographs (anteroposterior and lateral views) of both feet are usually enough to diagnose MWD. Other imaging modalities such as multi-detector computed tomography and magnetic resonance imaging in early cases for the differential diagnosis can add additional details on the amount of cartilage affected, bone stock, fragmentation, and associated soft tissue injuries. Failure to identify patients with paradoxical flatfeet varus may lead to an incorrect diagnosis and management. Conservative treatment with the use of rigid insoles is effective in most patients. A calcaneal osteotomy seems to be a satisfactory treatment for patients who fail to respond to conservative measures and a good alternative to the different types of peri-navicular fusions. Weight-bearing radiographs are also useful to identify postoperative changes.

show abstract

Section: Radiological Features Of Mwdmentioning

confidence: 99%

Imaging of Müller-Weiss Disease

Carrascoso

Rosa

Llopis

et al. 2023

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

show abstract

“…A literatura sobre a doença de Müller-Weiss é escassa e geralmente descreve casos isolados 10,11 ou séries de casos 12-14 . A maioria dos estudos disponíveis, demonstra o predomínio da doença no sexo feminino com idade média de 58,8 anos, variando de 52 a 67 anos 3,11,14-18 com acometimento bilateral 3,17,18 .Alguns estudos sugerem relação com estresse ambiental na infância, como desnutrição; porém na literatura atual não encontramos relação com pobreza na infância 14,17 .…”

Section: Discussionunclassified

Artrodese talo-naviculo-cunha em Doença de Müller-Weiss

Marinho,

Fonseca,

Macedo

et al. 2024

RTO

View full text Add to dashboard Cite

A Doença de Müller-Weiss gera alterações biomecânicas complexas dos pés, e sua prevalência é desconhecida. As características clínicas são: dor no mediopé de início insidioso, mais frequente em mulheres e com acometimento bilateral. O tratamento conservador compreende mudanças no estilo de vida (como perda de peso, modificações no uso de calçados, e palmilhas sob molde com elevação de toda borda lateral). Nos casos não responsivos ao tratamento clínico, o tratamento cirúrgico é uma opção viável. A artrodese talo-naviculo-cunha é uma das opções cirúrgicas para melhora da dor e correção da deformidade com recuperação do alinhamento do retropé.

show abstract

“…El diagnóstico se realiza mediante una radiografía simple de pie con carga, observando la deformidad en varo del retropié, escafoides en forma de "coma" por la constante compresión, [7][8] divergencia astrágalo -calcáneo disminuida, inex minus que hace referencia al primer metatarsiano más corto de lo habitual.…”

Section: Diagnóstico -unclassified

Enfermedad de Muller Weiss: A referencia de un caso clínico

Lamilla,

Luzuriaga

2023

RevReumDia

View full text Add to dashboard Cite

La enfermedad de Muller Weiss en una patología displásica del hueso navicular o escafoides del pie que se genera durante la infancia pero que se manifiesta con inestabilidad lateral del tobillo y dolor crónico insidioso en la región dorso medial del medio/retropié en edad adulta sobre todo en mujeres entre la 4ta y 6ta década de vida. La fisiopatología que condiciona esta enfermedad son el retraso de la osificación del escafoides tarsiano y la trasferencia lateral de la carga con deformidad en varo del retropié.

show abstract

Clinical Presentation, Imaging Features, and Management of Müller–Weiss Disease

Cited by 5 publications

References 24 publications

Imaging of Müller-Weiss Disease

Imaging of Müller-Weiss Disease

Artrodese talo-naviculo-cunha em Doença de Müller-Weiss

Enfermedad de Muller Weiss: A referencia de un caso clínico

Contact Info

Product

Resources

About