Köhler's bone disease of the tarsal navicular

Fourteen patients with Köhler's bone disease of the tarsal navicular in 16 feet were reviewed at an average follow-up of 31 years 6 months after diagnosis. The type and length of treatment did not affect the final outcome; however, short-leg cast immobilization did decrease the duration of symp...

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Bibliographic Details
Published inJournal of pediatric orthopaedics Vol. 15; no. 5; p. 596
Main Authors Borges, J L, Guille, J T, Bowen, J R
Format Journal Article
LanguageEnglish
Published United States 01.09.1995
Subjects
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Male
Osteochondritis - complications
Osteochondritis - pathology
Osteochondritis - therapy
Retrospective Studies
Tarsal Bones - pathology
Treatment Outcome
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Summary:Fourteen patients with Köhler's bone disease of the tarsal navicular in 16 feet were reviewed at an average follow-up of 31 years 6 months after diagnosis. The type and length of treatment did not affect the final outcome; however, short-leg cast immobilization did decrease the duration of symptoms. Two feet were symptomatic at the time of follow-up: one foot had a talocalcaneal coalition with degenerative changes, and the other foot had a large accessory navicular. Both of these feet were rated as having a fair result. The remaining 12 feet were classified as having a good result. Patients with Köhler's bone disease can be expected to have a normal foot at adulthood. Should the patient become symptomatic, other causes of foot pain should be investigated.
ISSN:0271-6798
DOI:10.1097/01241398-199509000-00009