Köhler's disease I
An avascular necrosis of the tarsal navicular bone and, less frequently, the patella., possibly due to repetitive compressive forces which cause a loss of blood supply and fragmentation in a bone that is not fully ossified. More common in males; onset at 3 to 8 years of age. Asymptomatic or pain on medial side of foot. Tenderness on palpation and swelling over area of navicular bone. Slight, usually unilateral, limp.
We thank Jamal Mashlab for correcting en error in the original entry.
- A. Köhler:
Über eine häufige, bisher anscheinend unbekannte Erkrankung einzelner kindlicher Knochen. Münchener medizinische Wochenschrift. 1908, 55: 1923-1925.
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