Presentation
Pain at both feet for a few months, denied any preceding trauma. Mild tenderness over anteromedial aspect of both feet. No increased warmth or swelling. ROM both ankle joints were normal. Walking with a painful gait, with weight bearing over lateral aspect of both feet.
Patient Data
Age: 5 years
Gender: Male
From the case:
Navicular avascular necrosis (Köhler disease)
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Info
The navicular bone appear wafer-like (thinned) and fragmented, and also demonstrates patchy sclerosis.
Case Discussion
The findings are compatible with avascular necrosis of navicular bone which is also called Köhler disease.
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