title: Köhler's bone disease of the tarsal navicular.
abstract: Fourteen patients with Köhler's bone disease of the tarsal navicular in 16 feet were reviewed at an average follow-up of 31 years 6 months after diagnosis. The type and length of treatment did not affect the final outcome; however, short-leg cast immobilization did decrease the duration of symptoms. Two feet were symptomatic at the time of follow-up: one foot had a talocalcaneal coalition with degenerative changes, and the other foot had a large accessory navicular. Both of these feet were rated as having a fair result. The remaining 12 feet were classified as having a good result. Patients with Köhler's bone disease can be expected to have a normal foot at adulthood. Should the patient become symptomatic, other causes of foot pain should be investigated.
authors.affiliation: Alfred I. duPont Institute, Wilmington, Delaware 19899, USA.
authors.forename: J L
authors.initials: JL
authors.lastname: Borges
authors.forename: J T
authors.initials: JT
authors.lastname: Guille
authors.forename: J R
authors.initials: JR
authors.lastname: Bowen
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010007:Osteochondritis / Q000150:complications / Q000473:pathology / Q000628:therapy*; D012189:Retrospective Studies; D013639:Tarsal Bones / Q000473:pathology; D016896:Treatment Outcome