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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.
Koehler kÃ¶hler disease is far more common in boys than in; girls, however girls with this condition are often younger than boys with the disease. Are this is probably due to the onset of ossification in, girls which occurs at age-18 24, months whereas in, boys ossification occurs at age-24 30. Months. previous