Volume 27, Issue 131, January 2023

Kohler disease: A rare under diagnosed cause of pediatric foot arch pain and limping

Ankit Jaiswal^1♦, Ratnakar Ambade², Rameez Bukhari³, Prateek Upadhyay⁴, Dhruva Halani⁵

¹Post Graduate Resident, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India
²Professor and Head, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India
³Assistant Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India
⁴Senior Resident, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India
⁵Post Graduate Resident, Department of Obstetrics and Gynaecology, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India

^♦Corresponding author
Post Graduate Resident, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India

ABSTRACT

Kohler disease is an uncommon etiologic of gait disturbance in children which is related with decrease circulation of navicular bone by the compression of talus and cuneiform. The clinical presentation is arch pain & diffuses swelling in the mid-foot and limping gait with typical weight bearing on the affected foot. As it is a scarce entity for orthopaedics, the lack of clinical suspicion leads to under and delayed diagnosis leading to mis-management. Here we are presenting a case of Kohler disease in an 8 years-old male with right foot arch pain and limping gait (worsened due to improper management) which was managed later conservatively with medication and immobilization. Patient later on follow up after 4 weeks of immobilization, got symptomatically relieved. We concluded from this case report that the prompt diagnosis and management, improves quality of life of the patient in such a rare kind of disease.

Keywords: Osteochondrosis, limping, navicular bone, radiograph, pediatric

Medical Science, 2023, 27, e64ms2729

PDF

DOI: https://doi.org/10.54905/disssi/v27i131/e64ms2729

Published: 27 January 2023