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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.
Osgood-Schlatter disease is seen in the growing child and adolescent, particularly those who participate in athletics. This is an age where the bones are typically growing faster than the muscles and tendons. As a result, the muscles and tendons have a tendency to become tight. It is most common in young athletes who play games or sports that involve running and jumping. Osgood-Schlatter disease is most often seen in preteen and teenage boys from 10 to 15 years old.