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