Osteonecrosis of the foot

Revision as of 12:46, 27 August 2024 by Nikolas (talk | contribs) (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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  • 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 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