Osteonecrosis of the foot: Difference between revisions

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(Created page with "<section begin="orthopaedics" />* Osteonecrosis of the food = avascular necrosis of the foot * Most commonly affects talus, navicular and the first and second metatarsal bones * Köhler disease ** = osteonecrosis of the navicular bone ** Rare ** In young children (5 – 10) ** Boys > girls ** Presents with pain on dorsal and medial surface of foot ** It’s self-limiting, so conservative treatment with NSAIDs and immobilization is the only treatment *** No role for s...")
 
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<section begin="orthopaedics" />* [[Osteonecrosis]] of the food = avascular necrosis of the foot
#REDIRECT [[Osteonecrosis]]
* Most commonly affects talus, navicular and the first and second metatarsal bones
* Köhler disease
** = osteonecrosis of the navicular bone
** Rare
** In young children (5 – 10)
** Boys > girls
** Presents with pain on dorsal and medial surface of foot
** It’s self-limiting, so conservative treatment with NSAIDs and immobilization is the only treatment
*** No role for surgery
* Osteonecrosis of the 2nd metatarsal head (Freiberg disease)
** In adolescents (13 – 18)
** Girls > boys
** Presents with pain on forefoot
** Treatment
*** Conservative
**** NSAIDs
**** Immobilization
*** Surgery
**** Rarely needed (only in severe disease)
**** Osteotomy/arthrotomy
* Sever disease
** = osteonecrosis of calcaneal apophysis (the tuberosity of the calcaneus)
*** Sever disease is also called calcaneal apophysitis
** Often occurs in young athletes (8 – 12)
** Pain in the area of the calcaneal apophysis
** It’s self-limiting, so conservative treatment with NSAIDs and immobilization is the only treatment
*** A soft heel pad decreases the pressure on the calcaneus
*** No role for surgery
<section end="orthopaedics" />
[[Category:Orthopaedics]]
[[Category:Orthopaedics]]

Latest revision as of 18:53, 11 September 2024

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