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Published on: September 19, 2019
Köhler Disease: Avascular Necrosis in the Child
Jeremy Y Chan1, Jeffrey L Young2
1Department of Orthopaedics, Stanford University, 300 Pasteur Drive, Edwards Building, R 144, Stanford, CA 94305-5341, USA.
Abstract:
Köhler disease is a childhood condition of pain and swelling of the medial midfoot with associated osteochondrosis or avascular necrosis of the tarsal navicular. The age at presentation is between 2 and 10 years, with boys more likely to be affected than girls. Radiographs show increased sclerosis and sometimes flattening and fragmentation of the navicular. Long-term outcomes for Köhler disease are favorable regardless of the type of treatment, although a short period of immobilization with a short leg walking cast may reduce the duration of symptoms.
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