关键词: Avascular necrosis Kohler's disease Navicular bone Pediatric foot pain

Mesh : Child, Preschool Diagnosis, Differential Foot Injuries / diagnosis Humans Male Osteochondrosis / diagnostic imaging Osteonecrosis / diagnostic imaging Tarsal Bones / diagnostic imaging

来  源:   DOI:10.1016/j.ajem.2017.08.004   PDF(Sci-hub)

Abstract:
Kohler\'s disease is rare cause of foot pain and limping in the pediatric population. The exact etiology of Kohler\'s disease is unknown. It usually presents as sudden and unexplained foot pain and limping. We report a case of a 5-year-old male who presented to the Pediatric Emergency Department with foot pain and inability to bear weight for two days after overactivity and acute foot injury. The patient was eventually diagnosed with Kohler\'s disease (avascular necrosis of the navicular bone). Although Kohler\'s disease is not very common, it should be considered in the differential diagnosis of foot pain in the pediatric population, as it may prevent unnecessary tests and treatments.
摘要:
科勒氏病是儿科人群中引起足部疼痛和跛行的罕见原因。科勒病的确切病因尚不清楚。它通常表现为突然和无法解释的脚痛和跛行。我们报告了一例5岁男性,他在过度活动和急性脚伤后两天出现脚痛,无法承受体重。患者最终被诊断为Kohler病(舟骨缺血性坏死)。虽然科勒病不是很常见,在儿科人群的足部疼痛的鉴别诊断中应该考虑它,因为它可以防止不必要的测试和治疗。
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