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Bilateral Kohler's Disease: A Case Report
Sanjay V Deshpande1, Radha A Channawar1, Hitendra Wamborikar1
1Orthopedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Insights
Kohler's disease, a pediatric condition affecting the navicular bone, typically presents with pain and is diagnosed via clinical and radiological methods. This self-limiting osteochondritis requires conservative management, with surgery not indicated.
Area of Science:
- Pediatric Orthopedics
- Pediatric Radiology
- Pediatric Bone Diseases
Background:
- Kohler's disease is osteochondritis of the navicular bone, often linked to vascular issues and delayed ossification.
- It predominantly affects pediatric males and can be unilateral or asymptomatic.
- Diagnosis relies on clinical presentation and imaging.
Abstract:
Kohler's disease is characterized by osteochondritis of the navicular bone due to various factors like the lack of blood supply and late ossification of the bone. In particular, it is a disease of the pediatric age group, which has male preponderance. It may present with bony pain unilaterally or, at times, be asymptomatic and diagnosed accidentally. Clinical presentation and radiological investigations are the mainstay of diagnosis. This self-limiting condition requires only symptomatic conservative management. A surgical approach is not yet indicated. One such case of bilateral Kohler's disease is presented in this report. Here, we discuss the disease's presentation, examination, treatment, and prognosis.
