Aktaş Erdem, Ayanoğlu Tacettin, Hatipoğlu Yasin, Kanatlı Ulunay
Department of Orthopaedics, Ankara Training and Research Hospital, 06340 Altındağ, Ankara, Turkey.
Eklem Hastalik Cerrahisi. 2016 Dec;27(3):179-82. doi: 10.5606/ehc.2016.36.
Although, trauma, foot deformity (pesplanovalgus), systemic diseases such as diabetes mellitus and lupus, drugs (steroids, antineoplastic) and excessive alcohol consumption have all been accused in the etiology of avascular necrosis of the tarsal bones, spontaneous avascular necrosis of the navicular bone, especially in adults, is a rare entity. In this article, we report a 50-year-old female patient with bilateral, spontaneous avascular necrosis of the navicular bone and related severe talonavicular arthrosis. Clinical and radiological findings were concordant with Müller-Weiss disease, which is a rare disease with complex idiopathic foot condition of the adult tarsal navicular bone characterized by progressive navicular fragmentation and talonavicular joint destruction. The patient was successfully treated with two-staged bilateral talonavicular arthrodesis.
尽管创伤、足部畸形（扁平外翻足）、糖尿病和狼疮等全身性疾病、药物（类固醇、抗肿瘤药）以及过度饮酒都被认为与跗骨缺血性坏死的病因有关，但舟骨自发性缺血性坏死，尤其是在成年人中，是一种罕见的病症。在本文中，我们报告了一名50岁女性患者，患有双侧舟骨自发性缺血性坏死及相关的严重距舟关节病。临床和影像学表现与Müller-Weiss病相符，这是一种罕见疾病，其特征为成人跗舟骨出现复杂的特发性足部状况，表现为舟骨逐渐碎裂和距舟关节破坏。该患者通过分期双侧距舟关节融合术成功治愈。
