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.
作者简介
ORCID number:Antonio Volpe 0000-0002-5681-6995;Luca Monestier 0000-0002-5404-5533;Teresa Malara 0000-0003-4273-0645;Giacomo Riva 0000-0001-7543-4282;Giuseppe La Barbera 0000-0003-3279-9278;Michele Francesco Surace 0000-0002-4645-8418;Corresponding author:Luca Monestier,MD,Doctor,Surgeon,Orthopedic and Trauma Unit,ASST Sette Laghi,via L.Borri 57,Varese 21100,Italy.dottlucamonestier@outlook.it。
