目的:Müller-Weiss病(MWD)是一种具有挑战性的疾病,在初始阶段涉及关节周围区域,在后期阶段涉及整个脚。本文的目的是描述病理力学,临床评估,以及非手术和手术治疗,包括治疗算法,根据目前的证据和作者的综合经验。
方法:我们回顾了相关文章,并总结了有关这种情况的信息。
结果:许多相关文章表明,治疗应侧重于退化区域和畸形矫正的管理,以恢复正常的足部对准并缓解疼痛。
结论:本系统综述提出了一种适用于MWD管理的全面实用的治疗算法。
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.
METHODS: 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.
CONCLUSIONS: This systematic review proposes a treatment algorithm that is comprehensive and practical to apply for the management of MWD.