Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Sep 8;15(9):e44929.
doi: 10.7759/cureus.44929. eCollection 2023 Sep.

Bilateral Kohler's Disease: A Case Report

Sanjay V Deshpande  1 , Radha A Channawar  1 , Hitendra Wamborikar  1 , Bhushan Patil  1 , Aditya Pundkar  1
Affiliations
Case Reports

Bilateral Kohler's Disease: A Case Report

Sanjay V Deshpande et al. Cureus. .

Abstract

Kohler's disease is characterized by osteochondritis of the navicular bone due to various factors like the lack of blood supply and late ossification of the bone. In particular, it is a disease of the pediatric age group, which has male preponderance. It may present with bony pain unilaterally or, at times, be asymptomatic and diagnosed accidentally. Clinical presentation and radiological investigations are the mainstay of diagnosis. This self-limiting condition requires only symptomatic conservative management. A surgical approach is not yet indicated. One such case of bilateral Kohler's disease is presented in this report. Here, we discuss the disease's presentation, examination, treatment, and prognosis.

Keywords: avascular necrosis; kohler's disease; navicular; pain; pediatric population.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. X-ray anteroposterior view of the right foot and ankle
Figure 2
Figure 2. X-ray oblique view of the right foot and ankle
Figure 3
Figure 3. X-ray anteroposterior view of the left and right feet and ankle
Figure 4
Figure 4. Bony anatomy of the foot
The diagram is made by the author
Figure 5
Figure 5. Blood supply and regions of navicular accordingly
The diagram is made by the author
See this image and copyright information in PMC

References

    1. Trammell AP, Davis DD, Scott AT. StatPearls [Internet] Treasure Island (FL): StatPearls Publishing; [ Aug; 2023 ]. 2023. Kohler disease. - PubMed
    1. Köhler disease: avascular necrosis in the child. Chan JY, Young JL. Foot Ankle Clin. 2019;24:83–88. - PubMed
    1. Kohler Disease. [ Aug; 2023 ];Maral K, Bernardo V. https://rarediseases.org/rare-diseases/kohler-disease/ 2018 Treatment |:2023–2017.
    1. Osteochondritis of the navicular: a case report. Sharp RJ, Calder JD, Saxby TS. Foot Ankle Int. 2003;24:509–513. - PubMed
    1. Köhler's bone disease of the tarsal navicular. Borges JL, Guille JT, Bowen JR. J Pediatr Orthop. 1995;15:596–598. - PubMed

Publication types

LinkOut - more resources