Kohler Disease: Avascular Necrosis in the Child. Foot and ankle clinics Chan, J. Y., Young, J. L. 2019; 24 (1): 83–88

Abstract

Kohler disease is a childhood condition of pain and swelling of the medial midfoot with associated osteochondrosis or avascular necrosis of the tarsal navicular. The age at presentation is between 2 and 10 years, with boys more likely to be affected than girls. Radiographs show increased sclerosis and sometimes flattening and fragmentation of the navicular. Long-term outcomes for Kohler disease are favorable regardless of the type of treatment, although a short period of immobilization with a short leg walking cast may reduce the duration of symptoms.

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