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Case report
Osteochondrosis or avascular necrosis of navicular, medial and intermediate cuneiforms in a child
Osteocondrosis o necrosis avascular del navicular, cuñas medial e intermedia en un niño
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Laura Fernández Navarroa,
Corresponding author
laurafn2617@gmail.com

Corresponding author.
, Jade García Espinosab, Elena Moya Sánchezc
a Musculoskeletal Radiology Unit, Diagnostic Radiology Service , Hospital Universitario San Cecilio, Granada, Spain
b Musculoskeletal Radiology Section, Diagnostic Radiology Service, Hospital Universitario Virgen de las Nieves, Granada, Spain
c Pediatric Radiology Unit, Diagnostic Radiology Service, Hospital Universitario San Cecilio, Granada, Spain
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Received 20 November 2020. Accepted 12 May 2021
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Abstract

Limp and lower limb pain are a frequent cause of consultation in pediatrics. Among the differential diagnoses we must include osteochondrosis, a self-limiting disorder that arises due to avascular necrosis of the ossification centres, in which radiology is the key to diagnosis. The case submitted illustrates the imaging findings of osteonecrosis of tarsal navicular, medial and intermediate cuneiform in a child.

Keywords:
Osteochondrosis
Avascular necrosis
Osteonecrosis of tarsal navicular
Cuneiforms
Köhler’s disease
Imaging
Resumen

La cojera y el dolor de miembro inferior son una causa frecuente de consulta en pediatría. Entre los diagnósticos diferenciales debemos incluir las osteocondrosis, que son un grupo de trastornos autolimitados que surgen de la necrosis avascular de los núcleos de osificación, en cuyo diagnóstico es clave la radiología. El caso presentado ilustra los hallazgos por imagen de la osteonecrosis del navicular, cuña medial e intermedia en un niño.

Palabras clave:
Osteocondrosis
Necrosis avascular
Osteonecrosis del navicular
Cuñas
Enfermedad de Köhler
Imagen

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