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A child with Kohlerâs disease may present similarly to a child with a foot injury. An examination will reveal pain and tenderness over the dorsomedial midfoot, with or without local skin changes. Affected children typically walk with a limp or antalgic gait, with weight bearing on the lateral side of the foot.
The most common form of primary kyphosis is Scheuermann's disease. The exact cause of Scheuermann's is not known, although there does seem to be a pattern of occurrence in families. The disorder is usually first noted in adolescents in the 12-14 age range, although the condition may start earlier in life.