Kohler disease

Case contributed by Dr Yasser Asiri

Presentation

Pain and swelling.

Patient Data

Age: 10-year-old
Gender: Male
X-ray

Flattened, sclerosed, and irregularly outlined right navicular bone, the radiographic appearance is in keeping with Kohler disease. Mild-to-moderate diffuse osteopenia within the right foot bones. 

Case Discussion

The majority of the cases are unilateral presenting in children between 3 and 7 years of age. The osseous structures may be flattened, irregular and diminutive; however, the surrounding interosseous space maybe maintained. Over several years, the changes may reverse themselves such that the navicular bone may appear normal.

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Case information

rID: 64458
Published: 27th Nov 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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