Adult Tarsal Scaphoiditis: Management

Adult tarsal scaphoiditis or Mueller Weiss disease is a rare condition characterized by collapse of lateral half of the navicular bone.It is a spontaneous adult onset osteonecrosis of navicular bone with unclear etiology.Mueller Weiss disease is not sequelae to childhood onset Kohler's disease.Middle-aged women complain of midfoot and hindfoot pain.A detailed clinical and plain weight-bearing radiograph of foot is often diagnostic.The condition is graded using Maceira classification based on the deformity on lateral radiographs.Numerous surgical options are described for the management but no gold standard.We are presenting three patients, one with bilateral feet involvement, all in Maceira stage III deformity treated with double arthrodesis (talonavicular-cuneiform and calacaneocuboid) and autologous bone grafting achieving solid fusion and good functional outcome.