Orthopedics Book

Hindfoot

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Forefoot

Great Toe

Midfoot

  • Kohler Bone Disease

Toes

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Flatfoot

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Kohler Bone Disease

Aka: Kohler Bone Disease, Kohler's Disease, Avascular Necrosis of the Tarsal Navicular, Tarsal Navicular AVN
  1. See Also
    1. Osteochondritis
    2. Pediatric Limp
  2. Epidemiology
    1. Rare condition
    2. Age: Onset at age 2-8 years
    3. Gender: Boys affected 3-5 times more commonly than girls
  3. Pathophysiology
    1. Unknown etiology
    2. Not associated with Trauma
    3. Avascular necrosis of Tarsal Navicular
  4. Symptoms
    1. Presents with midfoot pain and Pediatric Limp (favoring unaffected side)
  5. Signs
    1. Local pain, tenderness, swelling over Tarsal Navicular
  6. Imaging: Foot XRay
    1. Flattening, sclerosis, fragmentation and irregularity of Tarsal Navicular
  7. Management
    1. Protect from excessive Trauma
    2. Rest
    3. Ice Therapy
    4. Short walking cast for 7-8 weeks
  8. Prognosis
    1. Spontaneous recovery by rule
    2. Complete Navicular re-ossification in 2-3 years
  9. References
    1. Achar (2019) Am Fam Physician 99(10): 610-8 [PubMed]
    2. Atanda (2011) Am Fam Physician 83(3): 285-91 [PubMed]
    3. Borges (1995) J Pediatr Orthop 15(5): 596-8 [PubMed]

Kohler disease (C0022765)

Concepts Disease or Syndrome (T047)
MSH D055034, D010007
SnomedCT 34359005
English Kohler's dis tarsal navicular, Kohler's disease of tarsal navicular, Osteochondritis of navicular, juvenile osteochondrosis of tarsal navicular (diagnosis), juvenile osteochondrosis of tarsal navicular, Koehler Disease, Koehler's Disease, KOEHLERS DIS, Koehlers Disease, Kohler's dis.(tarsal navicul.), KOEHLER DIS, Kohler's disease - osteochondrosis of tarsal navicular, Kohler disease, Navicular Osteochondrosis, Navicular Osteochondroses, Osteochondroses, Navicular, Osteochondrosis, Navicular, Juvenile osteochondrosis of tarsal navicular, Osteochondritis of the navicular, Juvenile osteochondrosis of tarsal navicular (disorder), Köhler's tarsal scaphoiditis, Köhler; navicular (tarsal) (osteochondrosis), navicular (tarsal); Köhler, navicular (tarsal); osteochondrosis (Köhler), navicular (tarsal); osteochondrosis, os naviculare; osteochondrosis (Köhler), osteochondrosis; Köhler, navicular (tarsal), osteochondrosis; navicular (tarsal) (Köhler), osteochondrosis; navicular (tarsal), Kohler's tarsal scaphoiditis, Osteochondrosis of tarsal navicular
Spanish Enfermedad de Koehler, osteocondrosis juvenil de hueso escafoides del tarso, osteocondrosis juvenil de hueso navicular del tarso, osteocondrosis juvenil del hueso navicular del tarso (trastorno), osteocondrosis juvenil del hueso escafoides del tarso, osteocondrosis juvenil del hueso navicular del tarso, osteocondrosis juvenil de hueso navicular del tarso (trastorno), escafoiditis tarsiana de Köhler
French Maladie de Köhler-Mouchet, Scaphoïdite tarsienne
Italian Malattia di Koehler
German Köhler-Krankheit
Portuguese Doença de Koehler
Czech Köhlerova nemoc
Norwegian Köhler-sykdom, Köhlers sykdom, Navikulær osteokondrose
Dutch Köhler; os naviculare (osteochondrose), os naviculare; osteochondrose (Köhler), osteochondrose; Köhler, os naviculare, osteochondrose; os naviculare (Köhler), osteochondrose; os naviculare, Syndroom van Köhler
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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