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Imaging of Müller-Weiss Disease
Javier Carrascoso1, Manuel Monteagudo2, Eva Llopis3
1Department of Radiology, Hospital Universitario Quirónsalud Madrid, Faculty Medicine UEM Madrid, Madrid, Spain.
Seminars in Musculoskeletal Radiology
|May 25, 2023
Summary
Müller-Weiss disease (MWD) is a tarsal navicular bone dysplasia causing foot arthritis. Early diagnosis via weight-bearing radiographs and appropriate treatment, like rigid insoles or osteotomy, are key for managing this mechanical foot condition.
Area of Science:
- Orthopedics
- Radiology
- Podiatry
Background:
- Müller-Weiss disease (MWD) involves tarsal navicular bone dysplasia.
- This leads to asymmetric talonavicular arthritis and varus deformity.
- It can be mistaken for avascular necrosis or stress fractures.
Purpose of the Study:
- To outline the diagnostic criteria for Müller-Weiss disease.
- To discuss imaging modalities for diagnosis and differential diagnosis.
- To review conservative and surgical treatment options.
Main Methods:
- Standardized weight-bearing radiographs (AP and lateral views) are primary diagnostic tools.
- Multi-detector computed tomography and MRI aid in assessing cartilage, bone stock, and soft tissues.
- Clinical evaluation for paradoxical flatfoot varus is crucial.
Main Results:
- Weight-bearing radiographs are sufficient for diagnosing MWD.
- Advanced imaging provides detailed insights for complex cases.
- Conservative treatment with rigid insoles is effective for most patients.
Conclusions:
- Accurate diagnosis of MWD is essential to avoid mismanagement.
- Weight-bearing radiographs are vital for diagnosis and monitoring treatment.
- Calcaneal osteotomy offers a satisfactory surgical option for refractory cases.
