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- Title
Avascular necrosis of the navicular (Müller-Weiss). A systematic review.
- Authors
Gonçalves-dos Santos, R.; Furtuoso-Junior, V. F.; Pinto de Barros-Moreira, W. L.; Assunção-Tostes, A.; Caixeta, F. C.; dos Santos-Carneiro, T.
- Abstract
Müller-Weiss is a disease characterized by deformation, fragmentation and necrosis of the navicular, which presents with midfoot varus and longstanding 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.
- Subjects
NECROSIS; OSTEONECROSIS; ARTHRODESIS; RADIOLOGY; SYSTEMATIC reviews
- Publication
Acta Ortopédica Mexicana, 2024, Vol 38, Issue 5, p333
- ISSN
2306-4102
- Publication type
Article
- DOI
10.35366/117381