BILATERAL DISEASE OF THE INTERNAL CUNEIFORM BONE WITH AN ASSOCIATED DISEASE OF THE RIGHT SCAPHOID BONE (KÖHLER'S)

Abstract

In recent years considerable interest has centered around a certain group of closely related disorders of bone. These are Legg-Perthes' disease of the femoral capital epiphysis, Kohler's disease of the tarsal scaphoid, Osgood-Schlatter's disease involving the epiphysis of the tibial tubercle, Kienboch's disease affecting the semilunar bone in the wrist, and Freiberg's infraction of the second metatarsal head. Most authors are of the opinion that the underlying pathologic condition in these bone disorders is microscopically an aseptic necrosis. Some authorities have observed an infiltration of the bone with fibrous tissue extending from the periosteum. Others have found cystic formation with fibrous tissue infiltration, and some report the changes of an osteochondritis. I believe that the condition which I present has heretofore been undescribed, as a careful search of the literature has failed to reveal any case with similar pathologic changes. This is a case of bilateral disease of the internal