Müller-Weiss disease:Four case reports  

作　　者：Antonio Volpe Luca Monestier Teresa Malara Giacomo Riva Giuseppe La Barbera Michele FrancescoSurace 

机构地区：[1]Foot and Ankle Clinic,Policlinico Abano Terme,Abano Terme 35031,Italy [2]Orthopedic and Trauma Unit,ASST Sette Laghi,Varese 21100,Italy [3]Department of Biomedical Science and Functional Images,Universitàdi Messina,Messina 98122,Italy [4]Interdisciplinary Research Centre for Pathology and Surgery of the Musculoskeletal System,Department of Biotechnology and Life Sciences(DBSV),University of Insubria,Varese 21020,Italy

出　　处：《World Journal of Orthopedics》2020年第11期507-515,共9页世界骨科杂志（英文版）

摘　　要：BACKGROUND Müller-Weiss disease(MWD)is an idiopathic foot condition characterized by spontaneous tarsal“scaphoiditis”in adults.Frequently bilateral and affecting females during the 4th-6th decades of life,the pathogenesis of MWD remains unclear:It has been traditionally considered a spontaneous osteonecrosis of the navicular.The typical presentation of MWD is a long period of subtle discomfort followed by prolonged standing,atraumatic,disabling pain.Currently,there is no gold standard for the treatment of patients with MWD.Most support initial conservative therapy.Operative treatment should be considered for failure of conservative therapies longer than 6 months.The indication for surgery is severity of symptoms rather than severity of deformities.Operative treatment options include core decompression,internal fixation of the tarsal navicular,open or arthroscopic triple fusion,talo-navicular or talo-navicular-cuneiform arthrodesis,and navicular excision with reconstruction of the medial column.CASE SUMMARY In this study,we report four patients affected by MWD.Clinical and radiographic assessment,follow-up and treatment are reported.CONCLUSION As it is frequently misdiagnosed,MWD is challenging for orthopedic surgeons.Early diagnosis and effective treatment are mandatory to avoid sequelae.

关 键 词：Müller-Weiss ETIOPATHOGENESIS REVIEW Treatment Case report 

分 类 号：R687.4[医药卫生—骨科学]