Kohler’s Disease Secondary to Tarsal Pyogenic Arthritis


Kohler’s disease is an osteochondrosis of the tarsal navicular bone. The exact causes of osteochondrosis remain unknown. We report a 4-year-old girl with a haematogenous tarsal arthritis who developed a Köhler’s disease immediately after the infection. It is hypothesised that avascular necrosis of the navicular bone was developed secondary to pyogenic arthritis.

Share and Cite:

A. Tagarro, J. Yebra, M. Steiner, N. Bonsfills, J. Albillos, A. Sánchez, L. Cid and A. Cañete, "Kohler’s Disease Secondary to Tarsal Pyogenic Arthritis," International Journal of Clinical Medicine, Vol. 2 No. 5, 2011, pp. 633-635. doi: 10.4236/ijcm.2011.25107.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] S. M. Doyle and A. Monahan, “Osteochondroses: A Clinical Review for the Pediatrician,” Current Opinion in Pediatrics, Vol. 22, No. 1, 2010, pp. 41-46. doi:10.1097/MOP.0b013e328334579e
[2] J. L. Borges, J. T. Guille and J. R. Bowen, “Kohler’s Bone Disease of the Tarsal Navicular,” Journal of Pediatrics Orthopedics, Vol. 15, No. 5, 1995, pp. 596-598. doi:10.1097/01241398-199509000-00009
[3] P. N. Malleson and D. D. Sherry, “Noninflammatory Musculoskeletan Pain Conditions,” Textbook of Pediatric Rheumatology, Cassidy, Philadelphia, 2006, pp. 670-672.
[4] W. Waugh, “The Ossification and Vascularisation of the Tarsal Navicular and Their Relation to Kohler’s Disease,” Journal of Bone Joint Surgery of Britain, Vol. 40-B, 1958, pp. 765-777.
[5] B. Vargas, “Kohler Disease,” 2010. http://emedicine.medscape.com/article/1234753-overview
[6] M. C. Clark, “Overview of the Causes of Limp in Children,” 2011. http://www.uptodate.com.
[7] R. C. Medlar and E. D. Lyne, “Sinding-Larsen-Johansson Disease. Its Etiology and Natural History,” Journal of Bone and Joint Surgery of America, Vol. 60, No. 8, 1978, pp. 1113-1116.
[8] G. Kenet, E. Ezra, S. Wientroub, et al., “Perthes’ Disease and the Search for Genetic Associations: Collagen Mutations, Gaucher’s Disease and Thrombophilia,” Journal of Bone Joint Surgery of Britain, Vol. 90, No. 11, 2008, pp. 1507-1511. doi:10.1302/0301-620X.90B11.20318
[9] A. Al Kaissi, K. Klaushofer and F. Grill, “Osteochondritis Dissecans and Osgood Schlatter Disease in a Family with Stickler Syndrome,” Pediatrics Rheumatology Online Journal, Vol. 7, No. 4, 2009, p. 4. doi:10.1186/1546-0096-7-4

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.