Title: Panatalar extrusion associated with bimalleolar fracture revealing Müller-Weiss syndrome..
Authors: Mouad Miloudi , El bachir Mghabar , Abid Hatim , Mohammed El Idrissi , Abdelmajid El mrini
Volume: 9
Issue: 2
Pages: 103-110
Publication Date: 2025/02/28
Abstract:
Müller-Weiss syndrome (MWS) is a rare and complex condition characterized by progressive navicular bone fragmentation and midfoot deformity, often leading to chronic pain and functional impairment. This case report presents a unique instance of an open panatalar extrusion associated with a bimalleolar fracture in a patient with previously undiagnosed Müller-Weiss syndrome. A 60-year-old female presented with acute ankle trauma following a fall from 3 m height.Radiographic and CT scan studies revealed a bimalleolar fracture alongside talar extrusion and underlying MWS, evidenced by navicular fragmentation and talonavicular collaps). Surgical intervention included fracture fixation and talar reduction. This case highlights the diagnostic challenges of MWS in the setting of acute trauma and underscores the importance of considering rare underlying conditions in complex foot and ankle injuries. The management of such cases requires a multidisciplinary approach to address both acute trauma and chronic degenerative changes, aiming to restore function and prevent long-term complications.