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Future Directions in Müller-Weiss Disease Whither the Way Forward?
Michael M Stephens1, John Wong-Chung2
1Department of Foot & Ankle Surgery, St. Raphael's House, 81/84 Upper Dorset Street, Dublin D01 KX02, Ireland.
Foot and Ankle Clinics
|January 29, 2026
Summary
Müller-Weiss disease awareness is crucial for radiologists. Standardized reporting using Wong groups and Maceira stages is recommended for better outcomes in this rare navicular bone condition.
Area of Science:
- Orthopedics
- Radiology
- Podiatry
Background:
- Müller-Weiss disease (MWD) is a rare, degenerative condition affecting the navicular bone.
- Current diagnostic and terminological practices for MWD require refinement.
Purpose of the Study:
- To enhance awareness of Müller-Weiss disease among medical professionals, particularly radiologists.
- To advocate for standardized terminology and reporting methods for MWD.
- To guide treatment decisions based on foot alignment.
Main Methods:
- Review of current literature and clinical practices related to Müller-Weiss disease.
- Analysis of diagnostic challenges and proposed terminological changes.
- Discussion of treatment considerations, including surgical interventions.
Main Results:
- The terms 'bipartite navicular' and 'Brailsford's osteochondritis' should be discontinued for end-stage MWD.
- Geographic variations in MWD presentation exist.
- The term 'paradoxic pes planovarus' should be used cautiously, ensuring varus is present before surgery.
Conclusions:
- Increased medical community awareness, especially among radiologists, is vital for early MWD diagnosis.
- Standardized reporting using Wong groups and Maceira stages is essential for consistent outcome assessment.
- Global collaboration is needed to elucidate MWD etiology and establish treatment gold standards.
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