Kohler disease

Case contributed by Dr Henry Knipe

Presentation

A few weeks of on-and-off right foot pain.

Patient Data

Age: 4 years
Gender: Male
X-ray

The navicular is collapsed and sclerotic. Overlying dorsal soft tissue swelling. No other abnormality. 

X-ray

Comparison x-ray of the left foot shows a normal navicular. 

Case Discussion

Kohler disease refers to avascular necrosis of the navicular.

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