Köhler disease

Case contributed by Karam Manzalawi
Diagnosis almost certain

Presentation

Right foot pain for 1 month

Patient Data

Age: 5 years
Gender: Male
x-ray
  • navicular appear thinned (wafer-like) 
  • the navicular demonstrates patchy sclerosis 

Case Discussion

Köhler disease: eponymous name referring to childhood-onset osteonecrosis of the navicular bone.

Typically seen in the pediatric population (4-6 years of age) with a male predilection.

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