Syndrome of Muller-Weiss: this is the pathology he has been suffering from for some time Rafael Nadal, whose conditions in these hours seem to worry the fans.
While his participation in Wimbledon is still in doubt, the tennis champion, fresh from his 14th title at Roland Garros, was in fact filmed by the channel’s cameras. The Sixthat Barcelona airport, while gets out of the car with crutches.
What is that therefore to the Müller-Weiss syndrome? How does it manifest itself? And how can it be cured? We talked about it with the doctor Roberto Pelucchi, orthopedic Foot Surgery Specialist at the Zucchi Clinical Institutes.
What is Müller-Weiss syndrome?
“It’s about a osteochondrosisi.e. an alteration of the bone and cartilage growth process affecting a bone of the foot, specifically the scaphoid. This alteration of the normal growth can present itself with a different symptomatology according to the severity ».
What are the main symptoms?
«It must be said, first of all, that this syndrome appears mainly at a young age, that is, in the phase in which the bone growth processes are carried out. The ache it is the main symptom associated to a small extent also with redness and swellingfollowing a trial inflammatory collateral to the alteration “.
What are the causes of Müller-Weiss syndrome?
«The origin is multifactorial: we can speak of constitutional causes and therefore linked to subjectivity individual but not only. The disease can also be traced back to alterations that may have a familiar pattern or again to biomechanical alterations, that is to a excessive functional overload especially in the growth phase of the individual, or at a pathogenesis process tied to a lack of vascularization of this portion of the bone. If the bone does not grow sufficiently nourished from the vascular point of view, it undergoes a process of alteration of growth: the consequence is a greater plasticity of the bone which therefore becomes deformable and this deformity leads to the development of an arthritic process. In the case of this syndrome, the arthritic process occurs in the scaphoid but can also be present at the level of the knee, hip, metatarsal or elbow in other similar pathologies “.
Are young sports people therefore more at risk?
“There true cause is unknown. However, they exist factors that favor worsening of this syndrome. The disease can also present itself in a mild and asymptomatic form but become more severe in cases of functional overload. So in a sportsman to whom they are requested high functional performancea picture that could go unnoticed in a normal person, can become much more serious ».
How can Müller-Weiss syndrome be treated?
«Years ago the syndrome was treated with the use of an immobilization, therefore of a retaining plaster to ensure that the bone, during the growth phase and at the same time of suffering, does not undergo a picture of overload and therefore of deformity. Obviously now this type of treatment is not very feasible. In the initial stages of the pathology today we know that it is enough to leave the bone in the drain, therefore do not allow load in such a way that stresses are minimized. On the other hand, there are several treatments in the next phase. Then when the growth is finished and the patient reaches 17/18 years i treatments are local, anti-inflammatory, with functional therapy and physiotherapy. It is still about treatments aimed at removing the pain component. Still different is the treatment of the developmental picture of this syndrome, that is, when a phenomenon of joint suffering is triggered “.
In that case, how do you intervene?
«The situation is evaluated according to the degree of gravity, because gods can be made infiltrative treatments at the joint level with regenerative substanceswhich can be i platelet derivatives such as PRP (platelet rich plasma), le stamina cells or the fat generating cells they have a high concentration of substances capable of triggering growth factors in the joint area. All this works in an intermediate phase, when the arthrosis degenerative process is not advanced. Otherwise the only treatment is to block the joint with arthrodesis. Unfortunately, we must remember that this joint is a keystone for the distribution of weight, which weighs on the entire lower arch passing through the ankle. It is therefore a fundamental joint area for the foot: the sacrifice of the articulation therefore implies a clear rigidity to the movement ».
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Source: Vanity Fair
