Abstract：
OBJECTIVE: Müller-Weiss disease (MWD) is a rare anomaly of the tarsal scaphoid. Maceira and Rochera proposed the most commonly accepted etiopathogenic theory, in which dysplastic, mechanical, and socioeconomic environmental factors would be involved. The aim is to describe the clinical and sociodemographic characteristics of patients with MWD in our setting, corroborate their association with the socioeconomic factors previously described, estimate the influence of other factors involved in the development of MWD, and describe the treatment carried out.
METHODS: Retrospective study of 60 patients diagnosed with MWD in 2 tertiary hospitals of Valencia (Spain) between 2010 and 2021.
RESULTS: Sixty patients were included, 21 (35.0%) men and 39 (65.0%) women. In 29 (47.5%) cases, the disease was bilateral. The mean age of onset of symptomatology was 41.9±20.3 years. During childhood, 36 (60.0%) patients suffered migratory movements, and 26 (43.3%) had dental problems. The mean age of onset was 14.6±4.5 years. Thirty-five (58.3%) cases were treated orthopedically versus 25 (41.7%) treated surgically, 11 (18.3%) by calcaneal osteotomy, and 14 (23.3%) with arthrodesis.
CONCLUSIONS: As in the series of Maceira and Rochera, we found a higher prevalence of MWD among those born around the Spanish Civil War and the period of massive migratory movements that occurred in the fifth decade of the 20th century. Treatment is still not well established.
METHODS: Retrospective study of 60 patients diagnosed with MWD in 2 tertiary hospitals of Valencia (Spain) between 2010 and 2021.
RESULTS: Sixty patients were included, 21 (35.0%) men and 39 (65.0%) women. In 29 (47.5%) cases, the disease was bilateral. The mean age of onset of symptomatology was 41.9±20.3 years. During childhood, 36 (60.0%) patients suffered migratory movements, and 26 (43.3%) had dental problems. The mean age of onset was 14.6±4.5 years. Thirty-five (58.3%) cases were treated orthopedically versus 25 (41.7%) treated surgically, 11 (18.3%) by calcaneal osteotomy, and 14 (23.3%) with arthrodesis.
CONCLUSIONS: As in the series of Maceira and Rochera, we found a higher prevalence of MWD among those born around the Spanish Civil War and the period of massive migratory movements that occurred in the fifth decade of the 20th century. Treatment is still not well established.
摘要：
目的：Müller-Weiss病（MWD）是一种罕见的舟骨异常。Maceira和Rochera提出了最普遍接受的致病理论，其中发育不良，机械,和社会经济环境因素将涉及。目的是描述在我们的环境中MWD患者的临床和社会人口统计学特征，证实它们与先前描述的社会经济因素的联系，估计MWD开发中涉及的其他因素的影响，并描述所进行的治疗。
方法：回顾性研究2010年至2021年在瓦伦西亚（西班牙）的2家三级医院诊断为MWD的60例患者。
结果：纳入60例患者，男性21人（35.0%），女性39人（65.0%）。在29例(47.5%)中，该疾病是双侧的。症状学发作的平均年龄为41.9±20.3岁。在童年时期,36例（60.0%）患者有迁徙运动，26人(43.3%)有牙齿问题。平均发病年龄为14.6±4.5岁。35例(58.3%)采用正畸治疗，25例(41.7%)采用手术治疗，11例（18.3%）通过跟骨截骨术，关节固定术14例(23.3%)。
结论：与Maceira和Rochera系列一样，我们发现，在西班牙内战和20世纪第五个十年发生的大规模迁徙运动期间出生的人群中，MWD的患病率更高。治疗仍然没有得到很好的确立。
方法：回顾性研究2010年至2021年在瓦伦西亚（西班牙）的2家三级医院诊断为MWD的60例患者。
结果：纳入60例患者，男性21人（35.0%），女性39人（65.0%）。在29例(47.5%)中，该疾病是双侧的。症状学发作的平均年龄为41.9±20.3岁。在童年时期,36例（60.0%）患者有迁徙运动，26人(43.3%)有牙齿问题。平均发病年龄为14.6±4.5岁。35例(58.3%)采用正畸治疗，25例(41.7%)采用手术治疗，11例（18.3%）通过跟骨截骨术，关节固定术14例(23.3%)。
结论：与Maceira和Rochera系列一样，我们发现，在西班牙内战和20世纪第五个十年发生的大规模迁徙运动期间出生的人群中，MWD的患病率更高。治疗仍然没有得到很好的确立。
