Pediatric Foot Disorders
A 5-year-old boy presents with a limp and midfoot pain for 3 weeks. He localizes pain to the medial midfoot. Examination reveals tenderness over the navicular with mild swelling. Radiographs show a small, dense, fragmented navicular with loss of normal trabecular pattern. Regarding Kohler disease:
Mark each as TRUE or FALSE
Kohler disease is a self-limiting osteochondrosis of the tarsal navicular occurring in children ages...
The navicular is vulnerable due to its anatomical position (compressed between talus and cuneiforms)...
Kohler disease affects elderly patients; the cuboid is the affected bone; it is more common in girls...
Clinical features include antalgic gait, medial midfoot pain and tenderness, mild swelling, and limi...
Treatment is symptomatic and supportive: activity modification, short-leg walking cast for 4-8 weeks...
Answer the questions to see explanations
Click T (True) or F (False) for each option