Presentation
Pain and swellig of the midfoot. No recent trauma.
Patient Data
Age: 4
Gender: Male
From the case:
Avascular necosis of the navicular bone (Morbus Köhler)
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Sclerosis and fragmentation of the navicular bone.
From the case:
Avascular necosis of the navicular bone (Morbus Köhler)
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Central hypointense navicular bone in all sequences, representing sclerosis.
The abutting hyperintense areas probably represent hyperemia 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 pediatric population (4-6 years age) and there is a recognized male predilection.
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