Etiopathogenic factors and treatment of Müller-Weiss disease.

Autor: Martín-Gorgojo V; Sección de Pie y Tobillo, Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario de Valencia, Valencia, España; Instituto de Investigación Sanitaria INCLIVA, Hospital Clínico Universitario de Valencia, Valencia, España. Electronic address: martin_vicgor@gva.es., Blasco Mollá MC; Sección de Pie y Tobillo, Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario de Valencia, Valencia, España; Instituto de Investigación Sanitaria INCLIVA, Hospital Clínico Universitario de Valencia, Valencia, España; Departamento de Cirugía, Facultad de Medicina y Odontología, Universitat de València, Valencia, España., Forriol Brocal F; Sección de Pie y Tobillo, Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario de Valencia, Valencia, España; Instituto de Investigación Sanitaria INCLIVA, Hospital Clínico Universitario de Valencia, Valencia, España., Aguilar Hernández Á; Unidad de Cirugía Ortopédica y Traumatología, Hospital IMED Valencia, Burjassot, Valencia, España., Olivas Marín AM; Servicio de Anestesiología y Reanimación, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, España., Sánchez González M; Unidad de Pie y Tobillo, Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario y Politécnico de La Fe, Valencia, España., Guillot Ferriols A; Unidad de Pie y Tobillo, Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario y Politécnico de La Fe, Valencia, España.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2023 Sep-Oct; Vol. 67 (5), pp. 347-353. Date of Electronic Publication: 2023 Feb 15.
DOI: 10.1016/j.recot.2023.02.004
Abstrakt: Background and Aim: 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.
Materials and 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.
(Copyright © 2023 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: