Chan Jeremy Y, Young Jeffrey L
Department of Orthopaedics, Stanford University, 300 Pasteur Drive, Edwards Building, R 144, Stanford, CA 94305-5341, USA.
Department of Orthopaedics, Stanford University, 300 Pasteur Drive, Edwards Building, R 105, Stanford, CA 94305-5341, USA.
Foot Ankle Clin. 2019 Mar;24(1):83-88. doi: 10.1016/j.fcl.2018.09.005. Epub 2018 Dec 10.
Köhler disease is a childhood condition of pain and swelling of the medial midfoot with associated osteochondrosis or avascular necrosis of the tarsal navicular. The age at presentation is between 2 and 10 years, with boys more likely to be affected than girls. Radiographs show increased sclerosis and sometimes flattening and fragmentation of the navicular. Long-term outcomes for Köhler disease are favorable regardless of the type of treatment, although a short period of immobilization with a short leg walking cast may reduce the duration of symptoms.
科勒病是一种儿童期疾病，表现为足内侧中足疼痛和肿胀，并伴有跗舟骨的骨软骨病或缺血性坏死。发病年龄在2至10岁之间，男孩比女孩更易患病。X线片显示舟骨硬化增加，有时还会出现舟骨扁平及碎裂。无论采用何种治疗方法，科勒病的长期预后都较好，不过使用短腿行走石膏固定一段时间可能会缩短症状持续时间。
