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Question

Kohler's disease is avascular necrosis of :

The correct answer is
Navicular

Kohler's Disease: Avascular Necrosis Location

Kohler's disease is a medical condition characterized by avascular necrosis, meaning the temporary loss of blood supply to a bone, leading to bone death.

Affected Bone

In Kohler's disease, the avascular necrosis specifically affects the Navicular bone. This is a tarsal bone located in the foot, contributing to the arch.

Understanding the Condition

  • Cause: Interruption of blood flow to the navicular bone.
  • Affected Area: Primarily occurs in children, often affecting one foot.
  • Symptoms: Typically presents as pain, swelling, and tenderness over the top or inner side of the foot's arch.
  • Diagnosis: Often diagnosed through X-rays, which show changes consistent with avascular necrosis in the navicular bone.

Analysis of Options

  • Lunate: Avascular necrosis of the lunate bone is known as Kienböck's disease, affecting the wrist.
  • Capitellum of humerus: Avascular necrosis can occur here (e.g., Panner's disease in children), but it is not Kohler's disease.
  • First metatarsal head: Avascular necrosis can affect metatarsal heads (e.g., Freiberg's infarction), but typically not the first, and it is distinct from Kohler's disease.
  • Navicular: This is the correct site for Kohler's disease.

Therefore, Kohler's disease is avascular necrosis of the Navicular bone.

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