Holley Katie W, Price Benjamin J, McCormick William F, Littlefield Zachary L, Green Brandon M
Orthopaedic Surgery, East Tennessee State University Quillen College of Medicine, Johnson City, USA.
Cureus. 2025 Aug 5;17(8):e89411. doi: 10.7759/cureus.89411. eCollection 2025 Aug.
Two patients, ages five and eight, presented to a pediatric orthopedic surgeon with dorsomedial midfoot pain. After further evaluation, each was diagnosed with idiopathic avascular necrosis of the navicular, also known as Kohler disease, with concurrent avascular necrosis of the ipsilateral medial cuneiform. Both patients were treated conservatively with rest, immobilization, limited weight-bearing, and reduced activity, and both saw resolution of symptoms and radiographic findings by the completion of follow-up. This report aims to reassure physicians that, even with uncommon and unexpected radiographic findings, Kohler disease can be managed conservatively and can result in full recovery and return to activity as soon as 12 weeks after initiating treatment.
两名患者，年龄分别为5岁和8岁，因足背内侧中足疼痛就诊于一名小儿骨科医生。经过进一步评估，两人均被诊断为舟骨特发性缺血性坏死，也称为科勒病，同时伴有同侧内侧楔骨缺血性坏死。两名患者均接受了保守治疗，包括休息、固定、限制负重和减少活动，且两人在随访结束时症状和影像学表现均得到缓解。本报告旨在向医生们保证，即使出现罕见和意外的影像学表现，科勒病也可通过保守治疗，且在开始治疗后12周即可完全康复并恢复活动。
