Köhler's Disease II

Köhler's disease II: Metatarsal osteochondropathy

Kohler's disease II, also known as metatarsal osteochondropathy, is a rare condition that affects the development and structure of the metatarsal bone on the bottom of the foot. This condition usually occurs in children between 5 and 10 years of age, when bones are still actively growing.

Köhler disease II was first described by German orthopedist Albert Köhler in 1908. It belongs to a group of diseases known as osteochondropathy, which are characterized by impaired blood supply to bone tissue, which leads to its degeneration and disruption of normal development.

Osteochondropathy of the metatarsal bone is the result of a lack of blood supply to the metatarsal bone, which leads to its damage and degeneration. This may occur due to compression of the blood vessels that provide nutrition to the bone, or due to disturbances in the structure of the vascular system. The disease usually occurs on one side of the metatarsal bone, but in rare cases it can affect both feet.

The main symptom of Köhler's disease II is pain in the metatarsal region, which may worsen with weight bearing or walking. Children may experience unsteadiness and limited movement of the foot. In some cases, swelling and redness may occur around the metatarsal bone.

Diagnosis of Köhler disease II is based on clinical symptoms, physical examination of the foot, and x-ray results, which may show changes in the structure of the metatarsal bone.

Treatment of Köhler disease II is usually conservative and aimed at relieving symptoms and preventing further damage to the metatarsal bone. This may include wearing special shoes with support and cushioning, or using orthotics or plantar inserts. Physiotherapy exercises may also be prescribed to strengthen the foot and improve circulation.

In most cases of Köhler's disease II, it is self-limiting and symptoms disappear over time as the bone heals completely and normal blood supply is restored. However, in rare cases, surgery may be necessary, especially if symptoms persist or worsen.

In conclusion, Köhler's disease II, or osteochondropathy of the metatarsal, is a rare disease characterized by disruption of the blood supply to the metatarsal bone, leading to its damage and degeneration. It usually occurs in children between 5 and 10 years of age and causes pain in the metatarsal area and limited movement of the foot. Diagnosis is based on clinical symptoms and radiography, and treatment includes conservative methods such as the use of special shoes and physical therapy exercises. In most cases the disease is self-limiting and resolves over time, but in some cases surgery may be required.

Köhler's disease II is a complex disease that develops in children and adolescents. It is the second stage of osteochondropathy of the metatarsal bone, which in turn occurs as a result of various physical or mental factors affecting the child’s body.

Köhler's disease is characterized by the destruction of bone tissue, which causes its deformation, as well as rupture of muscle fibers, which can lead to impaired motor activity and difficulty walking in a child. Symptoms of this disease include a limp gait, limited mobility of the foot, pain in the foot and plantar heel when walking and sometimes at rest.

The causes of Köhler's disease II are not fully understood, but it is known that it may be associated with hereditary predisposition, injury and/or congenital abnormalities of the foot. In some cases, the disease occurs as a result of excessive stress on the legs, long flights or moving at a very young age, when the child’s bone tissue is not yet fully formed.

Treatment for Köhler disease II usually involves limiting the child's physical activity and prescribing physical therapy to strengthen the muscle mass around the foot. Children with this condition may also require a variety of medications, including nonsteroidal anti-inflammatory drugs.