UMEM Educational Pearls

Category: Airway Management

Title: Kohler's disease

Keywords: foot, necrosis (PubMed Search)

Posted: 8/26/2018 by Brian Corwell, MD
Click here to contact Brian Corwell, MD

Kohler’s disease

Osteonecrosis of the tarsal navicular bone

Affects children ages 4 to 7

4x more likely in males

Can be painless or present with arch/midfoot pain and a limp (usually activity related)

Usually unilateral but can be bilateral (in up to 25%)

PE: Tenderness to palpation over the length of the arch esp the medial navicular

Swelling, warmth, redness

-Can be misdiagnosed as an infection

X-ray: Sclerosis, collapse/flattening or fragmentation of navicular

Treatment: Walking boot or short leg cast