Radiographic analysis of Müller-Weiss disease

Wong-Chung, John; McKenna, Raymond; Tucker, Adam; Gibson, Desmond; Datta, Pallab

doi:10.1016/j.fas.2020.06.009

Cited by 16 publications

(9 citation statements)

References 21 publications

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“…3 Many direct and indirect signs of hindfoot varus and talonavicular alterations may be observed in plain weight-bearing radiographs of both feet. 1 21…”

Section: Imaging Studiesmentioning

confidence: 99%

“…3 Many direct and indirect signs of hindfoot varus and talonavicular alterations may be observed in plain weight-bearing radiographs of both feet. 1,21 On the dorsoplantar view, there is a systematic reduction of the talocalcaneal divergence ankle (kite angle) that indicates subtalar inversion/varus. The talar head moves laterally and is located over the anterior process of the calcaneus (instead of by its medial side).…”

Section: Radiological Features Of Mwdmentioning

confidence: 99%

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Imaging of Müller-Weiss Disease

Carrascoso

Rosa

Llopis

et al. 2023

Semin Musculoskelet Radiol

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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.

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“…3 Many direct and indirect signs of hindfoot varus and talonavicular alterations may be observed in plain weight-bearing radiographs of both feet. 1 21…”

Section: Imaging Studiesmentioning

confidence: 99%

Section: Radiological Features Of Mwdmentioning

confidence: 99%

Imaging of Müller-Weiss Disease

Carrascoso

Rosa

Llopis

et al. 2023

Semin Musculoskelet Radiol

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“…In addition, the CT is useful in assessing deformity and arthritis, and MRI is useful in detecting bone marrow edema and effusion in adjacent joints. Thus, CT and MRI are important diagnostic strategies for MWD ( 7 – 9 ). In addition, CT and MRI are also useful for the differential diagnosis of oncological pathologies and secondary tumors, which, although rare, may involve the tarsal scaphoid ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Individual Surgical Treatment of Stage IV Müller-Weiss Disease According to CT/MRI Examination: A Retrospective Study of 12 Cases

et al. 2022

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BackgroundThis study reported the individual surgical treatment of 12 cases with stage IV Müller-Weiss disease (MWD) according to CT/MRI examination.MethodsIn total, 12 cases diagnosed with stage IV MWD in our hospital from 2015 to 2019 were included in the retrospective study. Relevant clinical outcomes were evaluated preoperatively and postoperatively.ResultsThe follow-up results showed satisfactory outcomes in all cases. All the cases were presented with tenderness and chronic pain on the midfoot dorsum, and three cases were also presented with tenderness and pain on the lateral side of the midfoot, in which calcaneal cuboid arthritis was revealed by CT/MRI. The American Orthopedic Foot and Ankle Society (AOFAS) scores elevated from 62.5 ± 6.8 (range: 53–74) preoperatively to 95.3 ± 7.2 (range: 73–100) postoperatively (P < 0.005). The Visual Analog Scale (VAS) scores declined from 4.2 ± 0.9 (range: 3–5.5) preoperatively to 0.5 ± 0.3 (range: 0–2) postoperatively (P < 0.001). On the weight-bearing lateral view of the foot, the Tomeno-Méary angle (TM lat) changed from −11.2 ± 4.2 (range: −17.2 to −2.8) degrees preoperatively to −2.4 ± 3.9 (range: −10.2 to 5.2) degrees postoperatively (P < 0.001).ConclusionsThe fusion of the talus-navicular joint and the adjacent affected joint provide good clinical outcomes. The CT/MRI scans are helpful to identify the adjacent joint arthritis and provide indications for individual treatment for Stage IV MWD.

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“…The Meary-Tomenon angle was measured with the lateral view, and the foot length and the arch height were also measured from the radiographic results. Correlated parameters were measured and classified as previous reports (Aebi et al 2017, Wong-Chung et al 2021).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Efficacy of Triple and Talonavicular Arthrodesis for the Treatment of III-V Müller-Weiss Disease

Lü

Liu

Zeng

et al. 2022

Tohoku J. Exp. Med.

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Müller-Weiss Disease (MWD) is a rare foot disease with unclear etiology but frequently occurred in women. Due to the resistance to conservative treatment, surgical therapy has gradually occupied a necessary position in the clinical management of MWD. Joint fusion surgery is a commonly used treatment for MWD, which could effectively alleviate pain, correct deformation, and restore function. A total of 12 MWD patients (III-V stage) were enrolled in this study. All patients showed no significant improvement in conservative treatment and further received the triple and talonavicular arthrodesis. All patients were followed up with an average follow-up of 16.8 ± 1.19 months (mean ± SD). The triple and talonavicular arthrodesis significantly ameliorated the pain and walking dysfunction in the affected foot. The American Orthopedic Foot Andankle Society (AOFAS) scores dramatically increased from 43.4 ± 16.1 to 85.3 ± 6.2. Meanwhile, the conducting of triple and talonavicular arthrodesis improved the X-ray length (15.5 ± 0.8 vs. 14.3 ± 0.9 cm) and arch height (18.6 ± 0.9 vs. 10.2 ± 0.7 mm) and reduced the Meary-Tomeno angle (1.3 ± 2.5 vs. 2.14 ± 4.8°). The triple and talonavicular arthrodesis achieved a satisfying therapeutic effect on MWD patients at the III-V stage, which improved patients' outcomes and the quality of life.

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Radiographic analysis of Müller-Weiss disease

Cited by 16 publications

References 21 publications

Imaging of Müller-Weiss Disease

Imaging of Müller-Weiss Disease

Individual Surgical Treatment of Stage IV Müller-Weiss Disease According to CT/MRI Examination: A Retrospective Study of 12 Cases

Efficacy of Triple and Talonavicular Arthrodesis for the Treatment of III-V Müller-Weiss Disease

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