Medical student at the Federal University of Mato Grosso, UFMT-Cuiabá.
Orthopedist, Cuiabá Municipal Hospital, Mato Grosso.
Acta Ortop Mex. 2024 Sep-Oct;38(5):333-339.
Müller-Weiss is a disease characterized by deformation, fragmentation and necrosis of the navicular, which presents with midfoot varus and long-standing pain, mostly in females. It is related to delayed ossification due to physical or nutritional stress, associated with abnormal force distribution. There are still few studies on this condition and there is no consensus in the literature on its classification and treatment. At first, conservative treatment does not show positive results, only acute symptomatic improvement. Isolated talonavicular arthrodesis is the method most commonly adopted by specialists, showing good results and scores in the early stages, while triple and double arthrodesis is the choice in advanced stages. Knowledge of the radiology and findings is important for planning and individualizing the choice of treatment in each case. At the moment, there are several different techniques for approaching Müller-Weiss disease, however, studies evaluating long-term approaches as well as their complications need to be carried out. We present a systematic review on this disease.
穆勒-韦斯病是一种以足舟骨变形、碎裂和坏死为特征的疾病，表现为中足内翻和长期疼痛，多见于女性。该病与物理或营养压力引起的骨化延迟有关，与异常的力分布有关。目前对这种疾病的研究还很少，文献中对其分类和治疗也没有共识。起初，保守治疗没有显示出积极的效果，只有急性症状的改善。跗舟骨孤立性关节融合术是专家最常采用的方法，在早期阶段显示出良好的效果和评分，而三关节和双关节融合术则是晚期的选择。了解放射学和影像学表现对于规划和个体化选择治疗方案非常重要。目前，有几种不同的方法可以治疗穆勒-韦斯病，但是，需要进行评估长期治疗方法及其并发症的研究。我们对这种疾病进行了系统的回顾。
