Welck Matthew J, Kaplan Jonathan, Myerson Mark S
Institute for Foot and Ankle Reconstruction, Mercy Medical Center, Baltimore, Maryland
Institute for Foot and Ankle Reconstruction, Mercy Medical Center, Baltimore, Maryland.
Foot Ankle Spec. 2016 Jun;9(3):245-51. doi: 10.1177/1938640016630055. Epub 2016 Feb 4.
Müller-Weiss disease (MWD) is a rare condition that results in dorsolateral collapse of the navicular associated with rotation of the talar head and subtalar varus deformity. There are also varying degrees of midfoot collapse and associated loss of the medial arch in more advanced cases. The characteristic deformities and classification have been described on weightbearing radiographs. While early stage disease can be detected on magnetic resonance imaging and bone scan, there are considerable advantages to computed tomography (CT) scanning, in particular, weightbearing CT for further evaluation of this condition. We describe the imaging findings of this condition, and present 3 cases where weightbearing CT was used in the context of MWD. This is the first time the use of weightbearing CT scan has been reported for diagnosis and treatment of this condition.
Diagnostic, Level IV: Case series.
穆勒 - 魏斯病（MWD）是一种罕见病症，会导致舟骨背外侧塌陷，并伴有距骨头旋转和距下内翻畸形。在更严重的病例中，还会出现不同程度的中足塌陷以及内侧足弓的相关丧失。负重X线片上已描述了其特征性畸形和分类。虽然磁共振成像和骨扫描可以检测早期疾病，但计算机断层扫描（CT），特别是负重CT，对于进一步评估这种病症具有相当大的优势。我们描述了这种病症的影像学表现，并展示了3例在MWD背景下使用负重CT的病例。这是首次报道使用负重CT扫描来诊断和治疗这种病症。
诊断性，IV级：病例系列。
