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Kohler’s Disease
- osteonecrosis of the tarsal navicular
- Etiology unknown
- Natural History = spontaneous resolution and reconstitution of the navicular
Kohler's Clinical Evaluation
- usually presents with midfoot pain over the tarsal navicular around 5y/o.
- Limping.
- Tenderness, swelling, occasionally redness in the region of the tarsal navicular.
Kohlers Xray
- sclerosis +/- narrowing of tarsal navicular
Kohler’s Treatment
- symptomatic with restriction of weight bearing or cast immobilization for 6-12 wks, followed by orthotics. Xray findings usually normalize within 1yr, with no long term sequelae. (Borges, J Pediatr Orthop 15:596;1995)
Kohler’s Review References
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