Presentation
Pain and swelling.
Patient Data
Age: 10-year-old
Gender: Male
From the case:
Kohler disease
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/73318/annotated_viewer_json?lang=us"}
Flattened, sclerosed, and irregularly outlined right navicular bone, the radiographic appearance is in keeping with Kohler disease. Mild-to-moderate diffuse osteopenia within the right foot bones.
Case Discussion
The majority of the cases are unilateral presenting in children between 3 and 7 years of age. The osseous structures may be flattened, irregular and diminutive; however, the surrounding interosseous space maybe maintained. Over several years, the changes may reverse themselves such that the navicular bone may appear normal.