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September 1924


Author Affiliations

From the Department of Pediatrics, Cornell University Medical College.

Am J Dis Child. 1924;28(3):293-300. doi:10.1001/archpedi.1924.04120210030003

Tarsal scaphoiditis (Koehler's Disease)1 is rarely mentioned in pediatric textbooks. The literature contains at least sixty-four references to this condition (Alberti).2 As the disease affects children between the ages of 4 and 9 years, it is of special interest to the pediatrician.

In 1908, Koehler described a hitherto unobserved disease, which occurred in children between the ages of 5 and 9 years. The clinical symptoms are limping, pain, tenderness, swelling and redness over the inner dorsal surface of one foot. A roentgen-ray plate shows definite changes in the scaphoid bone and these changes are similar in all cases. The scaphoid is diminished in size, the outline is irregular, the contour, instead of being clear cut is blurred and irregular and there is a decided increase in density due to an abnormal calcium content. The prognosis is excellent although the length of time for full recovery may be two

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