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Köhler disease



Köhler disease
Classification & external resources
Skeleton of foot. Medial aspect.
ICD-10 M92.6
ICD-9 732.5
DiseasesDB 7204
eMedicine orthoped/410 

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. [1][2]

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.

Additional recommended knowledge

Contents

Symptoms

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

  1. ^ A. Köhler. Über eine häufige, bisher anscheinend unbekannte Erkrankung einzelner kindlicher Knochen. Münchener medizinische Wochenschrift. 1908, 55: 1923-1925.
  2. ^ synd/2676 at Who Named It

acquired deformities of fingers and toes (Boutonniere deformity, Bunion, Hallux rigidus, Hallux varus, Hammer toe) - other acquired deformities of limbs (Valgus deformity, Varus deformity, Wrist drop, Foot drop, Flat feet, Club foot, Unequal leg length, Winged scapula)

patella (Luxating patella, Chondromalacia patellae)

Protrusio acetabuli - Hemarthrosis - Arthralgia - Osteophyte
Systemic connective
tissue
disorders
Polyarteritis nodosa - Churg-Strauss syndrome - Kawasaki disease - Hypersensitivity vasculitis - Goodpasture's syndrome - Wegener's granulomatosis - Arteritis (Takayasu's arteritis, Temporal arteritis) - Microscopic polyangiitis - Systemic lupus erythematosus (Drug-induced) - Dermatomyositis (Juvenile dermatomyositis) - Polymyositis - Scleroderma - Sjögren's syndrome - Behçet's disease - Polymyalgia rheumatica - Eosinophilic fasciitis - Hypermobility
DorsopathiesKyphosis - Lordosis - Scoliosis - Scheuermann's disease - Spondylolysis - Torticollis - Spondylolisthesis - Spondylopathies (Ankylosing spondylitis, Spondylosis, Spinal stenosis) - Schmorl's nodes - Degenerative disc disease - Coccydynia - Back pain (Radiculopathy, Neck pain, Sciatica, Low back pain)
Soft tissue disordersmuscle: Myositis - Myositis ossificans (Fibrodysplasia ossificans progressiva)

synovium and tendon: Synovitis - Tenosynovitis (Stenosing tenosynovitis, Trigger finger, DeQuervain's syndrome)

bursitis (Olecranon, Prepatellar, Trochanteric)

fibroblastic (Dupuytren's contracture, Plantar fasciitis, Nodular fasciitis, Necrotizing fasciitis, Fasciitis, Fibromatosis)

enthesopathies (Iliotibial band syndrome, Achilles tendinitis, Patellar tendinitis, Golfer's elbow, Tennis elbow, Metatarsalgia, Bone spur, Tendinitis)

other, NEC: Muscle weakness - Rheumatism - Myalgia - Neuralgia - Neuritis - Panniculitis - Fibromyalgia
Osteopathiesdisorders of bone density and structure: Osteoporosis - Osteomalacia - continuity of bone (Pseudarthrosis, Stress fracture) - Monostotic fibrous dysplasia - Skeletal fluorosis - Aneurysmal bone cyst - Hyperostosis - Osteosclerosis
Osteomyelitis - Avascular necrosis - Paget's disease of bone - Algoneurodystrophy - Osteolysis - Infantile cortical hyperostosis
ChondropathiesJuvenile osteochondrosis (Legg-Calvé-Perthes syndrome, Osgood-Schlatter disease, Köhler disease, Sever's disease) - Osteochondritis - Tietze's syndrome
See also congenital conditions (Q65-Q79, 754-756)
  This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Köhler_disease". A list of authors is available in Wikipedia.
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