Köhler disease

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[edit] Discussion of Köhler disease

  • Kohler disease is avascular necrosis of the navicular bone occurs.
  • This disorder is far more common in boys than in girls.
  • Most frequent in children aged 5-10 years.
  • The etiology is unknown. Nevertheless, a vascular incident and a delayed bone age have been implicated.
  • Treatment: a weightbearing below-the-knee cast is recommended. Total cast time is approximately 6-8 weeks.
  • If pain persists 6 months after casting, an MRI or CT scan is necessary to exclude a tarsal coalition.

[edit] Imaging Findings for Köhler disease

  • Patchy increases in radiodensity, bone fragmentation with multiple ossific nuclei, and soft tissue swelling are evident on radiographs

[edit] Images

Patient #1

[edit] See Also

[edit] External Links

[edit] References for Köhler disease