Borges J L, Guille J T, Bowen J R
Alfred I. duPont Institute, Wilmington, Delaware 19899, USA.
J Pediatr Orthop. 1995 Sep-Oct;15(5):596-8. doi: 10.1097/01241398-199509000-00009.
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.
对14例（共16足）患有舟骨科勒氏病的患者进行了回顾性研究，诊断后平均随访31年6个月。治疗的类型和时长并未影响最终结果；然而，短腿石膏固定确实缩短了症状持续时间。随访时有2足仍有症状：1足存在距跟联合并伴有退行性改变，另一足有一个大的副舟骨。这两足的结果均评定为尚可。其余12足评定为结果良好。患有科勒氏病的患者成年后足部有望恢复正常。如果患者出现症状，应排查足部疼痛的其他原因。
