Köhler disease

Case contributed by Anson Chan
Diagnosis almost certain

Presentation

Painful left foot after stepping on a sea urchin spine.

Patient Data

Age: 3 years
Gender: Female
x-ray

The navicular appears collapsed and fragmented, representing Köhler disease.

No radiopaque foreign body seen on this examination.

Case Discussion

Plain radiographs showing incidental finding of Köhler disease in a pediatric patient.

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