Goedhart Louren M, Somford Matthijs P, Kempink Dagmar R J, Zeegers A V C M Elgun
Medisch Spectrum Twente, afd. Orthopedie, Enschede.
Ned Tijdschr Geneeskd. 2015;159:A9036.
Müller-Weiss disease is a rare and complex foot disorder. The underlying aetiology of this condition involves abnormal loading of the navicular bone combined with delayed ossification. Müller-Weiss disease is progressive and ultimately results in deformation and fragmentation of the navicular bone with plantar-flexed hindfoot varus. In patients with a severe form of this foot deformity, treatment involves arthrodesis of the midfoot with bridging of the navicular bone.
A 43-year-old female patient was seen in our outpatient clinic with pain in her right foot. Her symptoms had been present for seven months and had developed spontaneously without prior trauma. Imaging investigations resulted in the diagnosis of Müller-Weiss disease in both her right and her left foot.
It is important to recognize this condition at an early stage so that patients can receive conservative treatment initially.
米勒-魏斯病是一种罕见且复杂的足部疾病。这种病症的潜在病因包括舟骨异常负重以及骨化延迟。米勒-魏斯病呈进行性发展，最终会导致舟骨变形和碎裂，并伴有后足内翻跖屈。对于患有这种严重足部畸形的患者，治疗方法包括中足关节融合术并跨越舟骨。
一名43岁女性患者因右脚疼痛前来我院门诊就诊。她的症状已持续7个月，且无先前创伤史，是自发出现的。影像学检查结果诊断她的左右脚均患有米勒-魏斯病。
早期识别这种病症很重要，以便患者最初能够接受保守治疗。
