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October 26, 1918


Author Affiliations

Lecturer on Orthopedic Surgery, University of Oregon Medical School; Orthopedic Surgeon to Multnomah County Hospital PORTLAND, ORE.

JAMA. 1918;71(17):1360-1361. doi:10.1001/jama.1918.02600430006002

A pathologic condition limited to the scaphoid bone of the foot is rarely observed. First described by Köhler in 1908, it has since been known as "isolated disease of the scaphoid," or "Köhler's disease." Including the three cases described by Köhler, thirteen cases of this condition have been reported in the literature. Having had the opportunity of observing such a case recently, I have found it worth while to report it, incidentally directing attention to certain distinguishing features concerning its pathologic history.

REPORT OF CASE  A boy, aged 7 years, was brought to see me, Nov. 6, 1917. Lameness was the chief complaint. The family history was negative as to tuberculosis and syphilis. Both parents are living and well. The home surroundings, the rural environment of a prosperous farmer, had been ideal. The child had never had any illnesses, except measles and infected ears the preceding two winters, his health