ArticleFoot & ankle orthopaedics2026
Weightbearing Computed Tomography Reveals Why Heel Varus Is Not Always the Rule in Müller-Weiss Disease.
Article in Foot & ankle orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Controversy exists regarding mandatory hindfoot varus in Müller-Weiss disease (MWD). Methods: This retrospective cohort study examined weightbearing computed tomography (WBCT) in 22 feet with MWD. Measurements included hindfoot moment arm (HMA), middle facet subluxation in coronal (MFSC) and sagittal (MFSS) planes, posterior facet uncoverage, and angles between inferior and superior talar surfaces (inftal-suptal) at 33%, 50%, and 67% of the way moving from anterior to posterior along the posterior facet. Results: From the cohort consisting of 14 patients (22 feet, mean age 51.14 ± 13.90 years), based on a neutral zero HMA, 10 feet were designated as varus-offset and 12 as valgus-offset. Mean MFSC in valgus-offset (49.3 ± 6.3%) is significantly greater than in varus-offset feet (28.2 ± 6.1%) ( Conclusion: To our knowledge, this is the largest WBCT study of MWD to date. In these patients, we identified significantly greater MFSC in valgus-offset feet and different talus configurations, which may explain the more frequent 55% incidence of valgus offset. Because universal heel varus is not always the rule, caution is advised in advocating lateral displacement calcaneal osteotomy for all MWD feet. Level of Evidence: Level IV, retrospective cohort study.
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