Köhlerʼs Disease of the Tarsal Navicular

Ippolito, Ernesto; Pollini, P. T. Ricciardi; Falez, Francesco

doi:10.1097/01241398-198408000-00004

Cited by 42 publications

(8 citation statements)

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“…Kohler's disease is a scarce one involved navicular in the foot (7,8,10,11) . As reported in our 5 years-old patient, typically it appears between 2-10 years old and boys are affected more and later than girls (7,10,12,13) . As these epidemiological data supported, KD is likely related with the ossification of tarsal navicular that is terminated 18-24 months of age in girls and 30-36 months of age in boys (7,10,12,14) .…”

Section: Discussionsupporting

confidence: 81%

“…The treatment of KD is conservative with nonsteroidal anti-inflammatory drugs, rest and avoidance of weight-bearing provided by short leg walking cast, crutches, arch supports, controlled ankle motion (CAM) boots (3,7,11,15) . The symptoms completely resolve within six weeks to 18 months, but our patient completely recovered within the shorter time period (7,12,13) . Although the duration of symptoms is related with the type and length of therapy, the long-term prognosis is independently favorable (10,12,13) .…”

Section: Discussionmentioning

confidence: 63%

“…The symptoms completely resolve within six weeks to 18 months, but our patient completely recovered within the shorter time period (7,12,13) . Although the duration of symptoms is related with the type and length of therapy, the long-term prognosis is independently favorable (10,12,13) .…”

Section: Discussionmentioning

confidence: 63%

See 2 more Smart Citations

Kohler's Disease: Acute Foot Pain and Limping in Pediatric Emergency Department

Er¹,

Sözbılen²,

Kantas³

et al. 2020

Trends in Pediatrics

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Kohler's disease is a rare cause of limping in children which is hypothetically related with impaired blood supply of navicular bone by the compression of other tarsal bones. The clinical manifestations are pain and swelling in the midfoot and limping with typical steps on the lateral aspect of affected foot. As it is an elusive entity for physicians, the lack of clinical suspicion leads to utilization of advanced diagnostic tools and delayed diagnosis. Here we present a case of Kohler's disease as a 5 years-old girl with acute foot pain and limping.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 63%

See 1 more Smart Citation

Kohler's Disease: Acute Foot Pain and Limping in Pediatric Emergency Department

Er¹,

Sözbılen²,

Kantas³

et al. 2020

Trends in Pediatrics

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“…The bony changes like sclerosis, irregular border, and hyper-dense bone can be visualized on radiographic imaging [ 4 , 6 , 8 ]. The disease management includes symptomatic treatment and a short leg cast as per requirement [ 1 , 3 , 6 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Bilateral Kohler's Disease: A Case Report

Deshpande,

Channawar,

Wamborikar

et al. 2023

Cureus

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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.

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“…Importantly, MWD does not represent persistence of Kohler's disease which is self-limiting and completely resolves in childhood with no long-term radiological sequelae. 3 In the largest series of MWD, Maceira et al studied the epidemiology of the disease and noted that it particularly affected patients who had lived under stressful environmental conditions such as war or poverty. They also commented that most of the literature on MWD came from Europe and postulated that its low prevalence in the United States might be explained by the absence of such stressful environmental pre-disposing factors.…”

Section: Introductionmentioning

confidence: 99%