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Images in paediatrics
Kohler's disease: an unusual cause for a limping child
  1. Jemma Shanley1,
  2. David R James2,
  3. Mark D Lyttle2,3,
  4. Savvas Andronikou1,4,
  5. Dominique M A Knight5
  1. 1Faculty of Health Sciences, University of Bristol, Bristol, UK
  2. 2Emergency Department, Bristol Royal Hospital for Children, Bristol, UK
  3. 3Academic Department of Emergency Care, University of the West of England, Bristol, UK
  4. 4Department of Paediatric Radiology, Bristol Royal Hospital for Children, Bristol, UK
  5. 5Department of Orthopaedics, Bristol Royal Hospital for Children, Bristol, UK
  1. Correspondence to Dr David R James, Children's Emergency Department, Bristol Royal Hospital for Children, Lewisham High Street, Bristol BS2 8BJ, UK; davidrjames{at}

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A 3-year-old girl presented with intermittent, acutely worsening left foot pain and inability to bear weight with no history of trauma, fever or systemic illness. There was swelling and warmth over the dorsum of the left foot but no erythema or focal tenderness. Inflammatory markers were normal, but plain films demonstrated irregular sclerosis and collapse of the navicular bone with surrounding soft …

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  • Twitter Follow Mark Lyttle at @mdlyttle

  • Contributors JS, DRJ and MDL were responsible for the conception, design and initial production of the manuscript. SA and DK provided additional content and editing of the manuscript.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.