Disease Information for Osteochondrosis, tarsal/navicular (Kohler)

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Clinical Manifestations
Signs & Symptoms
Adolescent
Plantar Pain
Ankle Pain
Arthralgias Polyarthralgias
Foot Pain
Joint Pains
Joint pains Arthralgias in Children
Limp
Limping Child
Limping gait/orthopedic/antalgic
Limping in Adolescent
Limping in Child
Medial Foot/Ankle pain
Midfoot pain
Painful/Tender tarsal navicular bone
Skeletal problems/symptoms/signs
Wrist pain
Disease Progression
Course/Chronic disorder
Course/Chronic only
Course/Self limited usually
Demographics & Risk Factors
Population Group
Child
Population/Pediatrics population
Sex & Age Groups
Population/Adolescent
Population/Boy patient
Population/Child
Population/Children/all
Population/Male
Diagnostic Test Results
X-RAY
Xray/Skeletal findings
Associated Diseases & Rule outs
Associated Disease & Complications
Osteochondrodysplasia
Osteochondrosis/Navicular/Tarsal scaphoid (Kohler)
Disease Mechanism & Classification
Class
CLASS/Pediatric disorders (ex)
CLASS/Bone disorder (ex)
CLASS/Cartilage involvement/disorder (ex)
CLASS/Skeletal (category)
Pathophysiology
Pathophysiology/Apophysitis syndrome
Pathophysiology/Osteochondritis/developmental (ex)
Process
PROCESS/Congenital/developmental (category)
PROCESS/Reference organ/system (category)
PROCESS/Anomalies/Deformities/Malformations (EX)
Synonyms
Synonym
Osteochondrosis tarsal navicular (Kohler), Synonym/Koehler's disease, Synonym/Kohler disease, Synonym/Scaphoiditis (Kohlers)
Treatment
Surgical Procedures or Treatments
TX/Restrict Activities
Other Treatments
TX/Immobilization/splint.
Definition

Osteochonditis tarsal navicular; congenital-developmental with degenerative bone in joint; Kohler Disease; Kohler"s First Disease (of the Tarsal Navicular);Kohler"s Osteochondrosis of the Tarsal Navicular; Navicular Osteochondrosis; this is a rare bone disorder of the foot in children that may be the result of stress-related compression at a critical time during the period of growth; It is characterized by limping caused by pain and swelling in the foot; It most often occurs in children between the ages of three and seven, and it affects males five times more often than it does females; Typically, just one foot is affected; Children appear to grow out of the disorder, and the affected bones regain their size, density and structure within a year; For some, however, symptoms may last as long as two years--------(NORD 2005)-------------------------------Köhler"s disease I; Köhler’s syndrome I; Köhler’s bone disease; Köhler-Mouchet disease; Panner’s syndrome I; Aseptic necrosis of the navicular bone of the ankle, os naviculare pedis retardatum, osteochondritis of the tarsal navicular bone, osteochondrosis juvenilis, osteonecrosis of the tarsal navicular, spontaneous epiphyseal necrosis of the os naviculare pedis, tarsal scaphoiditis; An avascular necrosis of the tarsal navicular bone and, less frequently, the patella, possibly due to repetitive compressive forces which cause a loss of blood supply and fragmentation in a bone that is not fully ossified; More common in males; onset at 3 to 8 years of age; Asymptomatic or pain on medial side of foot; Tenderness on palpation and swelling over area of navicular bone; Slight, usually unilateral, limp ---------[whonamedit_com 2005]-----

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External Links Related to Osteochondrosis, tarsal/navicular (Kohler)
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Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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