Juvenile Osteochondrosis of Tarsus

Juvenile Osteochondrosis of Tarsus: Symptoms, Diagnosis, and Treatment

Juvenile osteochondrosis of tarsus, also known as Köhler disease or avascular necrosis of the tarsal navicular bone, is a rare condition that affects children between the ages of 3 and 14. This condition occurs when there is a disruption in the blood supply to the navicular bone in the foot, leading to bone death and subsequent damage to the surrounding joint and cartilage.

Symptoms of juvenile osteochondrosis of tarsus may include pain, swelling, and limping, particularly during physical activity. As the condition progresses, the affected foot may become flattened and the arch may collapse. Diagnosis is typically made through a combination of physical examination, medical history review, and imaging tests such as X-rays or MRI scans.

Treatment options for this condition aim to relieve pain, reduce inflammation, and promote healing. Non-surgical approaches, such as rest, immobilization, and physical therapy, are often recommended initially. However, in severe cases, surgical intervention may be necessary to repair or realign the affected bone.

Early diagnosis and appropriate treatment can lead to a favorable outcome and prevent long-term complications associated with juvenile osteochondrosis of tarsus. Regular follow-up appointments and adherence to treatment plans are crucial for managing this condition effectively.