Abstract
Kohler’s disease is an osteochondrosis of the tarsal navicular bone. The exact causes of osteochondrosis remain unknown. We report a 4-year-old girl with a haematogenous tarsal arthritis who developed a Köhler’s disease immediately after the infection. It is hypothesised that avascular necrosis of the navicular bone was developed secondary to pyogenic arthritis.
Highlights
Osteochondroses are a heterogeneous group of injuries to the epiphyses and apophyses of children [1]
We report a 4-year-old girl with a haematogenous tarsal arthritis who developed a Köhler’s disease immediately after the infection
It is hypothesised that avascular necrosis of the navicular bone was developed secondary to pyogenic arthritis
Summary
Osteochondroses are a heterogeneous group of injuries to the epiphyses and apophyses of children [1]. The injuries occur because of a disturbance of the endochondral ossification of epiphyseal growth during periods of rapid growth. This disease occurs mainly in the ossification centres of the lower extremity and is associated with characteristic radiographic findings. These findings are decrease in the size, irregularities, and increased density of the involved bone. Kohler’s disease is an osteochondrosis of the tarsal navicular bone. It tends to affect children between 4 and 9 years of age. They present with onset of insidious foot pain and a limp. There is no evidence that treatment affects outcome, which is almost always complete recovery [2,3], with reossification occurring gradually over the course of 1 - 2 years
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