Brailsford Disease

Definition

 

Adult form

- 45 year old females

- more severe than Kohler's

 

Symptoms

 

Intense pain +/- oedema & inflammation

- often pronounced limp

- marked flat foot with prominant navicular

 

Radiology

 

Navicular narrowed

- lateral part dense, sclerotic & thin

- occasional fracture line

- degenerative TNJ

- due to wedge shape concentrating forces dorsally

- fracture collapses

 

Surgery

 

Often necessary

- to graft navicular & restore anatomy