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Age / Sex : 61 / M
Age / Sex : 61/M
Chief complaint : Right foot pain
for several years
1) What is your impression?
Two weeks later, you can see the final diagnosis with a brief discussion of
this case.
* Send Application Answers to In Sook Lee, MD (lis@pusan.ac.kr)
Courtesy : Yi Jae Hyuck, Kyungpook National University Hospital
Diagnosis: Mueller-Weiss syndrome
Discussion
Findings: 1)
collapse of lateral part of navicular with fragmentation
2) combined degenerative arthropathy
of talonavicular joint
Differential Diagnosis: Post-traumatic degenerative osteoarthropathy
Diagnosis:
Mueller-Weiss
syndrome
Discussion:
Mueller-Weiss syndrome is a rare entity related to adult-onset spontaneous
osteonecrosis of the navicular. It is a painful and debilitating illness, which
is more frequent in women and can be either unilateral or bilateral. Mueller-Weiss
syndrome is not to be confused with Kohler disease, a well recognized, separate
entity characterized by spontaneous osteochondrosis of the navicular in children.
The classic radiological finding is collapse of the lateral aspect of the
navicular with dorsal protrusion resulting in the classic comma-shaped
deformity.
References:
1)
Jorg et al.
Spontaneous Ostenecrosis of the Tarsal Navicular in Adults: image findings, AJR
1988;151:355-358
2) Vicnays et al. Mueller-Weiss
syndrome, Can J Assoc Radiol
2008;59(1):39–40
3) Resnick. Bone and Joint Imaging, 3rd ed.
Philadelphia, Saunders, 2005, p1085
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