A 3-year-old girl was presented to the Orthopaedic Clinic with a complaint of left foot pain exacerbated by bearing weight. Four weeks prior to this visit, the patient's 4-year-old sister had jumped onto her left foot during play resulting in pain and an antalgic gait. PMH : She had no pain in the left foot prior to this episode. She was evaluated at an outside emergency room where radiographs were remarkable only for radiodensity and collapse of the tarsal navicular. She was given a diagnosis of Kohler's disease and instructed to restrict her activities.
The patient continued to have a limp and frequently complained of pain in her left foot, especially after activity. Physical Examination: The patient's physical examination was remarkable only for mild tenderness to palpation in the left midfoot and proximal forefoot. There was no discernible swelling or erythema. There was a full…
