Mueller Weiss disease - bilateral

Case contributed by Francisco García-Navas
Diagnosis almost certain

Presentation

Woman with pain in both feet. Clinically, flat feet.

Patient Data

Age: Adult
Gender: Female

Changes included a dorsal protrusion of the entire navicular,  fragmentation and dorsal protrusion of the lateral portion of the bone. 

Case Discussion

The Mueller Weiss disease refers to spontaneous osteonecrosis of the tarsal navicular in adults. This syndrome is distinct from Köhler disease, the osteochondrosis of the tarsal navicular bone that occurs in children.

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