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Journal of Bone and Joint Surgery, 1937;19:84-96.
© 1937 by The Journal of Bone and Joint Surgery, Inc

KÖHLER'S DISEASE OF THE TARSAL SCAPHOID

An End-Result Study

MEIER G. KARP M.D.1

1 The Orthopaedic Service, Children's Hospital, Boston

This syndrome occurs predominantly in male children between the ages of two and one-half and seven and one-half years, and is manifested by pain, a limp, swelling, and localized tenderness in the foot. It is more frequently unilateral than bilateral and has a characteristic x-ray picture which is unrelated to duration of symptoms or to treatment. Complete regeneration of the involved bone takes place in an average of two and three-fourths years, and a normal foot is the usual end result.

It is suggested by this study that the retarded development of the osseous nucleus of the scaphoid may alter its density, outline, and configuration, so as to simulate the picture of Köhler's disease.


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