Avascular necosis of the navicular bone (Morbus Köhler)

Case contributed by Dr C.Igler

Presentation

Pain and swellig of the midfoot. No recent trauma.

Patient Data

Age: 4
Gender: Male

Sclerosis and fragmentation of the navicular bone.

Central hypointense navicular bone in all sequences, representing sclerosis. 

The abutting hyperintense areas probably represent hyperaemia due to granulation tissue.

Swelling of the soft tissue surrounding the navicular bone.

Case Discussion

Köhler disease is an avascular necrosis of the navicular bone in the foot.

It typically presents in the paediatric population (4-6 years age) and there is a recognised male predilection.

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Case information

rID: 42010
Case created: 31st Dec 2015
Last edited: 16th Feb 2016
Inclusion in quiz mode: Included

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