Kohler Disease

  • Etiology: avascular necrosis of tarsal navicular
  • Radiograph: sclerosis and fragmentation can be normal
  • Clinical: usually affects older children, bilateral in 20%, pain + tenderness on weight bearing

Radiology Cases of Kohler Disease

Radiograph of Kohler disease
AP radiograph of the feet shows flattening and fragmentation of the left navicular bone and flattening of the right navicular bone.