A Novel Update on the Management of Müller-Weiss Disease: Presentation of a Treatment Algorithm

Author:

Angthong Chayanin1ORCID,Younger Alastair S.E.23,Chuckpaiwong Bavornrit45,Harnroongroj Thos4,Veljkovic Andrea23

Affiliation:

1. Division of Digital and Innovative Medicine, Faculty of Medicine, King Mongkut’s Institute of Technology Ladkrabang, Bangkok, Thailand

2. Foot and Ankle Reconstruction/Minimally Invasive Foot and Ankle Surgery, Division of Distal Extremities, Department of Orthopedics, St. Paul’s Hospital, The University of British Columbia, Vancouver, BC, Canada

3. Footbridge Clinic, Vancouver, BC, Canada

4. Department of Orthopedic Surgery and Rehabilitation, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

5. College of Sports Science and Technology, Mahidol University, Nakhon Pathom, Thailand

Abstract

Objective Müller-Weiss disease (MWD) is a challenging condition involving the perinavicular region in the initial stages and subsequently the entire foot in the later stages. The goal of this article is to describe the pathomechanics, clinical evaluation, and nonoperative and operative treatment, including a treatment algorithm, based on current evidence and the combined authors’ experience. Design We review the related articles and summarize the information about this condition. Results A number of related articles reveal that the treatments should focus on the management of degenerative regions and deformity correction to restore normal foot alignment and provide pain relief. Conclusion This systematic review proposes a treatment algorithm that is comprehensive and practical to apply for the management of MWD.

Publisher

SAGE Publications

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Biomedical Engineering,Immunology and Allergy

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