Köhler disease

Köhler disease

Infobox_Disease
Name = PAGENAME


Caption = Skeleton of foot. Medial aspect.
DiseasesDB = 7204
ICD10 = ICD10|M|92|6|m|91
ICD9 = ICD9|732.5
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj = orthoped
eMedicineTopic = 410
MeshID =

Köhler disease (also spelled "Kohler") is a rare bone disorder of the foot found in children between six and nine years of age. It was first described in 1908 by Alban Köhler (1874-1947), a German radiologist. [A. Köhler. Über eine häufige, bisher anscheinend unbekannte Erkrankung einzelner kindlicher Knochen. Münchener medizinische Wochenschrift. 1908, 55: 1923-1925.] [WhoNamedIt|synd|2676]

It is caused when the navicular bone temporarily loses its blood supply. As a result, tissue in the bone dies and the bone collapses. When treated, it causes no long term problems. As the navicular bone gets back to normal, symptoms typically abate.

ymptoms

Sufferers experience pain and swelling in the middle part of the foot and usually limp as a result. The disease typically affects boys, but it can also affect girls. Five is the age of boys most often affected and patients often complain of pain over the apex.
X-ray of both feet is used to diagnose disease. The affected foot has dense flattened navicular bone.

Causes

Although no definitive cause has been found yet, the disease may be due to strain on a weak navicular bone.

Treatment

The patient is often fit with a cast that stops below the knee. Moderate exercise is often beneficial.

References

External links

* [http://www.mayoclinic.com/health/kohlers-disease/AN00468 Mayo Clinic]
* [http://www.webmd.com/hw/health_guide_atoz/nord800.asp WebMD]


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