Mueller-Weiss Syndrome: an Important but Under-recognised Cause of Foot Pain and Deformity
CH Chan, KK Cheng, NY Pan, KC Wong, HY Lai, HF Chan, HL Chow
Hong Kong J Radiol 2016;19:57-62
DOI: 10.12809/hkjr1615337
Mueller-Weiss syndrome, or spontaneous osteonecrosis of the tarsal navicular bone in adults, is an important but under-recognised idiopathic foot condition that causes chronic mid- and hind-foot pain. Progressive deformity leading to advanced mid-tarsal osteoarthritis occurs when the disease is not recognised in its early stages. We present a case series of Mueller-Weiss syndrome from two regional hospitals in Hong Kong to illustrate the key radiographic features as well as computed tomography and magnetic resonance imaging findings accompanied by a review of the current literature, with the aim of increasing awareness of this important but under-recognised cause of foot pain in adults.
中文摘要
Mueller-Weiss綜合徵：引致足部疼痛和畸形的一個重要但未被廣泛認識的病因
陳志軒、鄭加勁、潘寧遠、黃國俊、黎曉欣、陳可鋒、仇鴻烈
Mueller-Weiss綜合徵是指成人足舟骨自發性壞死而導致中足和後足部慢性疼痛的病變。此症雖然是一個重要的足部病因，卻未被廣泛認識。如果未能早期發現，足部進行性畸形會導致中跗骨的嚴重骨性關節炎。本病例系列報告分別來自香港兩間分區醫院，探討Mueller-Weiss綜合徵的主要X綫特徵，以及電腦斷層掃描和磁力共振成像的表現；同時複習文獻，以提高對此成人足部疼痛病因的認識。