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Kohler's Disease

Mielcarek ELM - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Kohler's Disease

History: Otherwise healthy 6 year old boy presents to primary care with 2-week history of discomfort in left foot. Mother reports that the boy had been acting normally until two weeks ago when he began to complain of left foot pain. There was no history of trauma, recent or in the past. His mother noted that over the last week the patient has been favoring the left foot and walked with a limp.

Findings: Oblique and Lateral radiographs demonstrate sclerosis and decreased A-P diameter of the navicular bone. FSE T2-weighted with fat sat sagittal MR image of the left foot shows high-signal-intensity necrosis and edema in the tarsal navicular bone and low-signal-intensity sclerosis of this bone.

Ddx: Differential DX of imaging findings -Trauma -Avascular Necrosis Differential Dx of Causes of Osteonecrosis -Vascular Insufficiency -Idiopathic -Trauma -Sickle Cell Disease -Hemoglobinopathies -abnormal order of bone ossification

Dxhow: Imaging characteristics and clinical

Exam: Well-appearing boy in no acute distress. Patient walked with a slight limp favoring his left foot. No swelling or erythema was present. The patient had normal sensation, range of motion and strength. Patient has tenderness to palpation localized to the medial side of the left mid-foot.

No MeSH data available.


Oblique radiograph of the left foot demonstrates sclerosis and decreased AP diameter of the navicular bone.
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MPX2093_synpic26838: Oblique radiograph of the left foot demonstrates sclerosis and decreased AP diameter of the navicular bone.


Kohler's Disease

Mielcarek ELM - MedPix (2005)

Oblique radiograph of the left foot demonstrates sclerosis and decreased AP diameter of the navicular bone.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2093&req=5

MPX2093_synpic26838: Oblique radiograph of the left foot demonstrates sclerosis and decreased AP diameter of the navicular bone.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Kohler's Disease

History: Otherwise healthy 6 year old boy presents to primary care with 2-week history of discomfort in left foot. Mother reports that the boy had been acting normally until two weeks ago when he began to complain of left foot pain. There was no history of trauma, recent or in the past. His mother noted that over the last week the patient has been favoring the left foot and walked with a limp.

Findings: Oblique and Lateral radiographs demonstrate sclerosis and decreased A-P diameter of the navicular bone. FSE T2-weighted with fat sat sagittal MR image of the left foot shows high-signal-intensity necrosis and edema in the tarsal navicular bone and low-signal-intensity sclerosis of this bone.

Ddx: Differential DX of imaging findings -Trauma -Avascular Necrosis Differential Dx of Causes of Osteonecrosis -Vascular Insufficiency -Idiopathic -Trauma -Sickle Cell Disease -Hemoglobinopathies -abnormal order of bone ossification

Dxhow: Imaging characteristics and clinical

Exam: Well-appearing boy in no acute distress. Patient walked with a slight limp favoring his left foot. No swelling or erythema was present. The patient had normal sensation, range of motion and strength. Patient has tenderness to palpation localized to the medial side of the left mid-foot.

No MeSH data available.