Müller-Weiss disease: clinical and biomechanical features

Maceira, Ernesto; Rochera, Ramón

doi:10.1016/s1083-7515(03)00153-0

Cited by 97 publications

(207 citation statements)

References 24 publications

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“…MWD is more frequently bilateral and commonly present in women from 40 to 60 years old [1, 2]. The mean age at diagnosis in one series was 47.6 years (range 13–91 years) [3]. MWD possibly occurs more common in Europe than America [3], suggesting a possible environmental and nutritional link to MWD.…”

Section: Introductionmentioning

confidence: 99%

“…The mean age at diagnosis in one series was 47.6 years (range 13–91 years) [3]. MWD possibly occurs more common in Europe than America [3], suggesting a possible environmental and nutritional link to MWD. But a recent study by Doyle did not identify any environmental or social factor as predisposing factor [4].…”

Section: Introductionmentioning

confidence: 99%

“…But a recent study by Doyle did not identify any environmental or social factor as predisposing factor [4]. Many possible causes have been proposed, including primary osteonecrosis, traumatic or biomechanical factors, peri-navicular osteoarthritis, congenital malformation, and abnormal evolution of Kohler’s disease, but the most generally accepted causes are delayed ossification of the navicular and an abnormal force distribution pattern [3]. The reason of abnormal force distribution at the medial heel in foot of MWD may be hindfoot varus deformity.…”

Section: Introductionmentioning

confidence: 99%

“…Typical radiological findings of the navicular bone in MWD are a loss of volume with increased radiodensity, a comma-like shaped configuration due to compression, a subsequent medial or dorsal protrusion, and a fragmentation of the navicular bone [1, 6]. Maceira et al [3] described five radiographic stages of MWD according to the sagittal plane deformity of the navicular bone and the orientation of the intersection of the talar and first metatarsal axes (Meary-Tomeno’s angle) (Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

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Open triple fusion versus TNC arthrodesis in the treatment of Mueller-Weiss disease

Zhang

Qiao

et al. 2017

J Orthop Surg Res

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BackgroundMueller-Weiss disease is a rarely diagnosed deformity where the navicular bone undergoes spontaneous osteonecrosis in adults. Until now, there is no widely accepted operative treatment for this unusual disease. We aimed to compare clinical and radiological outcomes between the open triple fusion and talonavicular-cuneiform arthrodesis for Mueller-Weiss disease of stage 4.MethodsDuring the period from February 2012 to June 2016, 10 patients (11 feet) suffering from Mueller-Weiss disease of stage 4 were treated by the same senior surgeon. Among them, 5 patients (5 feet) were treated with open triple fusion and 5 patients (6 feet) were treated with talonavicular-cuneiform arthrodesis. Clinical outcomes were evaluated by American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score. Radiological results were assessed based on the X-ray and CT. Postoperative complications were also recorded.ResultsThere were no significant differences in AOFAS score between the two groups (p = 0.1 > 0.05). For the open triple fusion, the average AOFAS ankle-hindfoot score improved from 30.2 ± 3.27 preoperatively to 79 ± 3.81 at the last follow-up (p = 0.008). And for the talonavicular-cuneiform (TNC) arthrodesis, the average AOFAS ankle-hindfoot score improved from 33.2 ± 5.63 preoperatively to 86.2 ± 3.49 at the last follow-up (p = 0.007).ConclusionsBoth triple fusion and TNC arthrodesis are reasonable methods for the treatment of Mueller-Weiss disease if properly used. It is crucial to use radiological assessment to evaluate the involved joints preoperatively and then chose the appropriate method to treat different patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Open triple fusion versus TNC arthrodesis in the treatment of Mueller-Weiss disease

Zhang

Qiao

et al. 2017

J Orthop Surg Res

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“…[1,2] A disease called Müller-Weiss was defined in adults, which is distinctive from Koehler's disease, since AVN of the tarsal navicular bone was found to be bilateral with no spontaneous resolution. [3] Either resulting from the above-mentioned various etiological factors or spontaneous development, AVN in the tarsal bones ends up in osteoarthritis and deformity in a short period of time, due to the alteration of foot biomechanics and load distribution. Various treatment modalities have come into sight related to different stages of the disease.…”

mentioning

confidence: 99%