What is foot scaphoid osteochondrosis?

summary

Scaphoid osteochondrosis, also known as aseptic necrosis or Kohler's disease, refers to the development of scaphoid bone sclerosis, flattening and fragmentation. Children aged 4-8 are often involved, and boys are more than girls. Scaphoid is the arched stone on the longitudinal arch of foot, which is subject to great stress and prone to ischemic necrosis. Caffey found that 30% of boys and 20% of girls had irregular scaphoid ossification centers. What is foot scaphoid osteochondrosis? Let's talk about it

What is foot scaphoid osteochondrosis?

The edge is irregular, and fragmentation can be seen. Within a few months of onset, the scaphoid bone showed progressive bone destruction, followed by repair changes, and gradually returned to normal after 2 to 3 years.

X-ray findings: the early X-ray findings were obvious fragmentation of epiphysis and peripheral osteoporosis. At the time of onset, the scaphoid bone of the foot was well developed. At first, the bone density increased without obvious shape change, and then the scaphoid bone became smaller, flat and discoid,

The main manifestation was pain. Patients often complained of pain in the back of their feet, which aggravated after weight-bearing, and also pain at night. Limp gradually appeared. There was slight swelling and tenderness above the navicular bone. It is also painful when pressing the longitudinal arch of the foot.

matters needing attention

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