Avascular necosis of the navicular bone (Morbus Köhler)

Case contributed by Dr C. Igler


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 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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Case information

rID: 42010
Published: 6th Jan 2016
Last edited: 16th Feb 2016
Inclusion in quiz mode: Included

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