Khler病[1-4]最早于1908年报道,是一种自限性的儿童足舟骨坏死病,好发于3~9岁的儿童,男孩发病率约为女孩的3~5倍,女孩发病年龄平均比男孩早2岁,患者大多为单侧发病,约20%为双侧。临床上以中足内侧肿痛及步态跛行为主要表现,体格检查可发现足舟骨区域压痛,伴中足背侧肿胀和发热。一般预后良好,以保守治疗为主。笔者近期临床遇到1例,总结报告如下。 Köhler’s disease [1-4] was first reported in 1908 as a self-limited pediatric scaphoid necrosis that occurs in children aged 3 to 9 years, with boys about 3 to 5 times more likely than girls , The average onset age of girls than boys 2 years old, most patients with unilateral disease, about 20% bilateral. Clinically, medial and lateral medial pain and gait limpness as the main performance, physical examination can be found in the scaphoid tenderness, with dorsal mid-tumefaction and fever. The general prognosis is good, with conservative treatment. I recently encountered a clinical case, the summary report is as follows.