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Avascular Necrosis of the Tarsal NavicularAka: Tarsal Navicular AVN, Kohler's Disease
- Epidemiology
- Onset at age 5 years
- Pathophysiology
- Avascular necrosis of tarsal navicular
- Symptoms
- Presents with Painful limp
- Signs
- Local pain, tenderness, swelling over tarsal navicular
- Radiology: Foot XRay
- Flattening, sclerosis, irregularity of tarsal navicular
- Management
- Protect from excessive trauma
- Short walking cast for 7-8 weeks
- Prognosis
- Spontaneous recovery by rule
- Complete Navicular re-ossification in 2-3 years
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