Kohler’s Disease

Wikis > Paediatrics > Osteochondroses > Kohler's Disease

kohlers

Navicular is temporarily ‘softened’ and compressed by weightbearing forces. Most commonly ages 3 to 9. M>F. Usually unilateral. Have vague pain and tenderness localised over navicular – also can limp and avoid active inversion. On x-ray get characteristic narrowing of navicular with an irregular increase in density – this deformity is very pronounced.

Kohlers Disease Navicular

Differential diagnosis: ‘Retarded Bony Development of the Midtarsus‘ | Müller-Weiss Disease | Navicualr stress fracture

Treatment:
Acute stage – nonweightbearing
Mild – activity modification and foot orthoses to protect structural alignment
Severe – below knee cast

Related Topics:
Müller-Weiss Disease | Navicular bone

Other Osteochondroses:
Buschke disease | Calcaneal Apophysitis | Diaz (Mouchet’s) Disease | Distal Tibial Epiphysitis | Freiberg’s Disease | Iselins Disease | Kohler’s Disease | Legg-Calve-Perthes Disease | Osgood-Schlatter Disease | Osteochondrosis of Os navicularis | Severs Disease | Thiemann’s Disease | Treves’ or Ilfeld’s Disease

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Page last updated: Sep 12, 2022 @ 2:04 am

 
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