The Mueller Weiss syndrome is a rare source of pain within the midfoot in adults which was less commonly called Brailsford disease. Mueller Weiss Syndrome is a spontaneous onset osteonecrosis of the navicular in the foot. There's a a lot more well-known disorder of the same bone in young childen referred to as Köhler disease, which is also an osteonecrosis in the tarsal navicular bone, however they are completely different entities because of the characteristics with the developing bone tissues in youngsters. The disorder was initially described by Schmidt back in 1925. It was W Muller whom later supposed how the underlying mechanism in the disease has been as a result of an abnormal compressive power on the mid-foot area. About the same period, K Weiss, noted how the appearances on radiographs were a lot like those noticed in a disease called Kienbock disease, which is also an osteonecrosis. Both of these reports led to the most frequently used term for this disease, Mueller Weiss syndrome.
Mueller Weiss syndrome typically affects adults between forty and sixty years of age (Köhler disease has a peak onset around five years of age). Mueller Weiss Syndrome appears to be more prevalent in females. It may impact just one foot, or it may have an effect on both feet. The typical signs and symptoms include the progressive onset of discomfort in the mid-foot and hindfoot that may turn out to be localised to the most agonizing location being over the navicular. A flat foot is also more common in those that have this issue. The easiest way to identify Mueller Weiss syndrome is by the use of imaging. On a x-ray there will look like a failure of areas of the navicular and a whiteness with comma-shaped deformity on the outside part. A CT scan may show the same abnormalities and could be used to assess the stage with the problem in far more detail. A magnetic resonance image may be a lot more responsive to help with the verification as it is able to find a change in the bone marrow.
Mueller Weiss disease is commonly progressive and might produce serious pain and be very disabling, and so treatment should be commenced as quickly as possible in order to avoid the bone from being damaged too much. Initial treatment methods are to limit weight bearing, maybe some pain alleviation medicines and make use of supportive shoes or boots. Quite often foot orthotics are utilized to help further stabilise the bones and support the mid-foot of the feet. This prevents a lot of force off of the navicular. If that's not really making a difference, after that additional restriction in weightbearing amounts is needed so there is less stress about the painful area. A moon boot or walking splint is usually the next phase to help protect and also immobilise the region if your pain aren't getting better. If most of these conservative approaches tend not to help, then there are operative possibilities that can help with the soreness however can typically result in some modest impairment, which can be a lot better in comparison to the chronic soreness of an active condition. The actual surgical procedure might be a decompression of the navicular bone with drilling. Another option in case there are regions of navicular bone deterioration are a operative fusion of the important joints round the navicular.