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$Unique_ID{BRK03910}
$Pretitle{}
$Title{Kohler Disease}
$Subject{Kohler Disease Kohler's Disease Tarsal Navicular Kohler's
Osteochondrosis Tarsal Navicular Navicular Osteochondrosis Freiberg's Disease
Burning Feet Syndrome Tarsal Tunnel Syndrome Erythromelalgia }
$Volume{}
$Log{}
Copyright (C) 1990 National Organization for Rare Disorders, Inc.
800:
Kohler Disease
** IMPORTANT **
It is possible that the main title of the article (Kohler Disease) is not
the name you expected. Please check the SYNONYM listing to find the
alternate names and disorder subdivisions covered by this article.
Synonyms
Kohler's Disease (of the Tarsal Navicular)
Kohler's Osteochondrosis (of the Tarsal Navicular)
Navicular Osteochondrosis
Information on the following disorders can be found in the Related
Disorders section of this report:
Freiberg's Disease
Burning Feet Syndrome
Tarsal Tunnel Syndrome
Erythromelalgia
General Discussion
** REMINDER **
The information contained in the Rare Disease Database is provided for
educational purposes only. It should not be used for diagnostic or treatment
purposes. If you wish to obtain more information about this disorder, please
contact your personal physician and/or the agencies listed in the "Resources"
section of this report.
Kohler Disease is a rare bone disorder of the foot characterized by a
painful, swollen foot, eventually causing the individual to limp. It
generally occurs in children between the ages of three and five and affects
males more often than females. Recovery usually occurs in less than a year.
Symptoms
Kohler Disease is a rare bone disorder characterized by a painful swollen
foot. The foot is especially tender along the length of the arch. Putting
weight on the foot or walking is difficult, causing further discomfort and a
limp. Progressive degeneration of one of the bones in the foot (navicular
bone) causes the symptoms to develop. The bone eventually regenerates and
heals itself.
Kohler Disease tends to occur in children between the ages of three and
five. With treatment, symptoms usually last for about three months. Bone
restoration generally takes about eight months. Patients usually recover in
less than a year, regaining full function of the foot. The disorder rarely
lasts for more than two years. Recovery is permanent.
Causes
The exact cause of Kohler Disease is unknown. It does not appear to be
hereditary and it is usually not associated with an injury.
Affected Population
Kohler Disease is a rare bone disorder of the foot that affects males more
often than females. It usually occurs in children between the ages of three
and five. Patients usually recover in less than a year, regaining full
function of the foot.
Related Disorders
Freiberg's Disease is a rare bone disorder characterized by a painful foot
which is especially tender toward the front. Putting weight on the foot or
walking can cause further discomfort. Progressive degeneration
(osteonecrosis) of part of one of the long bones in the foot (head of second
metatarsal) causes the symptoms to develop. Surgery may be necessary to
treat this disorder. (For more information on osteonecrosis, choose
"osteonecrosis" as your search term in the Rare Disease Database).
Burning Feet Syndrome, also known as Gopalan Syndrome, is thought to be
caused by a possible deficiency of a B Vitamin or pantothenic acid. Severe
burning, aching and cramp-like pains in the soles of the feet (and possibly
palms of the hands) can occur. Often, patients experience a sensation like
pins and needles in the feet.
Tarsal Tunnel Syndrome involves pressure on nerves to the foot causing
pain. The initial symptoms of Tarsal Tunnel Syndrome are swelling of the
feet, and painful burning, tingling or numb sensations in the lower legs.
Symptoms can become more intense and extend to leg muscles after standing for
long periods during the day. These symptoms usually diminish with successful
treatment. (For more information on this disorder, choose "Tarsal Tunnel
Syndrome" as your search term in the Rare Disease Database).
Erythromelalgia is a syndrome of sudden intense dilation of blood vessels
(paroxysmal vasodilation). This causes intense burning pain, increased skin
temperature, and redness of the feet and, less often, the hands. (For more
information on this disorder, choose "Erythromelalgia" as your search term in
the Rare Disease Database).
Therapies: Standard
Diagnosis of Kohler Disease can be made by X-ray. Treatment can include
weight-bearing short-leg plaster casts or special shoes. Staying off the
foot as much as possible helps in recovery. Symptoms usually resolve within
one year.
Therapies: Investigational
Researchers are trying to identify the cause of Kohler Disease so that it can
be prevented.
This disease entry is based upon medical information available through
November 1990. Since NORD's resources are limited, it is not possible to
keep every entry in the Rare Disease Database completely current and
accurate. Please check with the agencies listed in the Resources section for
the most current information about this disorder.
Resources
For more information on Kohler Disease, please contact:
National Organization for Rare Disorders
P.O. Box 8923
New Fairfield, CT 06812-1783
(203) 746-6518
The National Arthritis and Musculoskeletal and Skin Diseases Information
Clearinghouse
Box AMS
Bethesda, MD 20892
(301) 495-4484
References
THE MERCK MANUAL, Volume 1, 15th Ed.: Robert Berkow, M.D., ed.-in-chief;
Merck, Sharp, and Dohme Laboratories, 1987. Pp. 2107-2108.
DORSIFLEXION OSTEOTOMY IN FREIBERG'S DISEASE. P. Kinnard and R. Lirette;
Foot Ankle (Apr 1989; issue 9 (5)). Pp. 226-231.
FREIBERG'S INFRACTION OF THE SECOND METARSAL HEAD WITH FORMATION OF
MULTIPLE LOOSE BODIES. G. Scartozzi, et al.; J Foot Surg (May-Jun 1989;
issue 28 (3)). Pp. 195-199.
KOHLER'S DISEASE OF THE TARSAL NAVICULAR. G. A. Williams and H. R.
Cowell; Clin Orthrop (Jul-Aug 1981; issue 158). Pp. 53-58.
KOHLER'S DISEASE OF THE TARSAL NAVICULAR: LONG-TERM FOLLOW-UP OF 12
CASES. E. Ippolito, et al.; J Pediatr Orthop (Aug 1984; issue 4 (4)). Pp.
416-417.
KOHLER'S OSTEOCHONDROSIS OF THE TARSAL NAVICULAR: CASE REPORT WITH
TWENTY-EIGHT YEAR FOLLOW-UP. K. M. Devine and R. E. Van Demark, Sr.; S D J
Med (Sep 1989; issue 42 (9)). Pp. 5-6.