Kohler’s Disease Secondary to Tarsal Pyogenic Arthritis

Alfredo Tagarro, Julia Yebra, Martina Steiner, Nuria Bonsfills, José Carmelo Albillos, Aida Sánchez, Lorena Cid, Alfonso Cañete

.

DOI: 10.4236/ijcm.2011.25107                

Abstract

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.

Keywords

Köhler Disease, Osteochondroses, Septic Arthritis, Children

Conflicts of Interest

The authors declare no conflicts of interest.

References

[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