Bilateral Kohler's Disease: A Case Report

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.

Foot pain in children and adolescents: a problem-based approach in musculoskeletal ultrasonography

“…Kohler’s disease is a rare condition that mostly affects children younger than 10 years [ 1 ]. The overall incidence is higher in males than in females, and it is bilateral in up to 25% of cases [ 2 , 3 ].…”