Kohler Disease

Kohler Disease

Credits: 1.00   Post-Assessment Questions:  5

Release Date: 5 Oct 2020
Expiration Date: 2 Dec 2021
Last Reviewed: 2 Dec 2020
Estimated Time To Finish: 60 Minutes

Need Help?  If you have a system or content concerns, please contact support@statpearls.com, or call (727) 289-9796.

Activity Description

Kohler disease is a disease only seen in pediatric patients. Although the etiology is not fully understood, it is thought to be caused by the compression of the navicular bone prior to ossification. This leads to blood flow abnormalities resulting in avascular necrosis. Kohler disease is most commonly seen in males ages 4 to 7 years old. Kohler disease is typically unilateral, although one report in the literature found that 25% of Kohler disease is bilateral. Patients typically present with medial-sided foot pain, swelling of the medial foot, and/or a limp. On plain films, the navicular will have standard characteristics of avascular necrosis, including sclerosis, fragmentation, and flattening. Kohler disease is a self-limiting condition with an excellent prognosis. There have been no reported cases of Kohler disease developing long-term clinical or radiologic abnormalities. This activity reviews the evaluation and treatment of Kohler disease and the role of the interprofessional team in managing patients with this condition.

Target Audience

This activity has been designed to meet the educational needs of nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

• Describe the most likely cause of Kohler disease.
• Describe the consequences of Kohler disease.
• Outline the radiographic findings expected in Kohler disease.

Author(s) / Contributors Disclosure of Conflicts of Interest

Each author, editor, faculty and planning committee member have completed a disclosure form indicating that neither they nor their spouse/partner has a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content of this activity.

COMMERCIAL SUPPORT: This activity has received NO commercial support.

Contributors

Hover over the contributor names to see details and disclosures of any financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity.

Authors: Amy Trammell, Donald Davis
Editors: Aaron Scott
Editors-In-Chief: David WoodAndrew WiltMary Cataletto
Chief Medical Reviewer: Donald Davis
Nurse Planner/Reviewer/Editor: Lisa Haddad
Nurse Planner/Reviewer/Editor: Bernadette Makar
Nurse Planner/Reviewer/Editor: Dorothy Caputo
Pharmacy Planner/Reviewer/Editor: Mark Pellegrini
Physician Planner/Reviewer/Editor: Scott Dulebohn

Continuing Education Accreditation Information

This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and StatPearls Publishing, LLC.  AKH Inc., Advancing Knowledge in Healthcare is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 030803.  This activity is approved for 1.00 contact hour(s) (which includes 0 hour(s) of pharmacology).

Cancellation Policy: Cancellations must be received in writing and a money-back guarantee is provided if not completely satisfied.

• StatPearls and AKH reserve the right to cancel any course due to unforeseen circumstances. StatPearls and AKH will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

• StatPearls and AKH are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

• Computer Requirements:  Internet Access
• E-mail Address

Instructions for Credit

1. Register for the activity and create a StatPearls login.     
2. Review the required accreditation information:  Target audience, learning objectives, and disclosure information.
3. Complete the entire self-study activity.
4. Complete the post-test assessments.
5. Successfully pass the post-test with a minimum score of 100%.
6. Complete the evaluation form.
7. Obtain a certificate.

StatPearls and AKH adhere to provider standards regarding commercial support of continuing education. It is the policy of StatPearls and AKH that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

• If you have concerns regarding the CE system, please contact support@statpearls.com, or call 727-289-9796.
• If you have concerns regarding CE, please contact service@akhcme.com or call AKH 877-AKH-CME4.

Media Usage Rights

The contributors and editors of StatPearls have attested that all associated media (images and video) have been legally cleared for use with this activity.  All copyrights are reserved.

• Name: 'Köhler_II.jpeg' Attribution: Contributed by Wikimedia User: Zieger M (CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en)