Eventually the metatarsal head reforms, and the pain resolves, although the head is usually a little flattened. Kienbock s disease occurs in the lunate of the hand. It usually occurs in patients age 20 to 30 years of age, more commonly in males. Kohler s disease occurs in the navicular bone of the foot, and occurs in children between 3 and 9 years of age. The child presents with a painful foot, and diagnosed on X-rays which show a collapse of the navicular bone.
Treatment consists of using an arch support, which relieves the pain.
Total restoration usually occurs over a period of 12 to 18 months. Although the less severe forms recover with no problems, the more severe forms in older boys can lead on to serious disability. Osgood-Schlatter disease occurs in the tibial tubercle apophysis at the insertion of the patellar tendon. It occurs between the ages of 10 to 15, more commonly in boys. It is probably a form of overuse syndrome, due to repeated avulsion stress on the tibial tubercle.