Monteagudo Manuel, Maceira Ernesto
Orthopaedic Foot and Ankle Unit, Orthopaedic and Trauma Department, Hospital Universitario Quirónsalud Madrid, Calle Diego de Velazquez 1, UEM Madrid, Madrid 28223, Spain.
Orthopaedic and Trauma Department, Complejo Hospitalario La Mancha Centro, Alcázar de San Juan, Avenida Constitucion 3, Ciudad Real 13600, Spain.
Foot Ankle Clin. 2019 Mar;24(1):89-105. doi: 10.1016/j.fcl.2018.09.006.
Müller-Weiss disease (MWD) is a dysplasia of the tarsal navicular. The shifting of the talar head laterally over the calcaneus drives the subtalar joint into varus. Failure to identify patients with paradoxic flatfoot varus may lead to the incorrect diagnosis and management. Conservative treatment with the use of rigid insoles with medial arch support and a lateral heel wedge is effective in most patients. Dwyer calcaneal osteotomy combined with lateral displacement seems to be a satisfactory treatment for patients who had failed to respond to conservative measures and a good alternative to the different types of perinavicular fusions.
米勒-魏斯病（MWD）是舟状骨的一种发育异常。距骨头在跟骨上向外移位会使距下关节内翻。未能识别出反常性平足内翻患者可能会导致错误的诊断和治疗。对大多数患者而言，使用带有内侧足弓支撑和外侧足跟楔形垫的硬质鞋垫进行保守治疗是有效的。德怀尔跟骨截骨术联合外侧移位术对于那些对保守治疗无反应的患者似乎是一种令人满意的治疗方法，并且是各种舟状骨周围融合术的良好替代方案。
