A condition described as isolated disease of the scaphoid, or Koehler's disease is occasionally reported. In a recent paper1 it is stated that only eight cases have been described since 1908. Therefore, the following cases, which appear to be true to this type, might well be placed on record.
—H. H., girl, aged 2½ years, seen Aug. 7, 1911, began walking at 16 months, she was sick for a month in August, 1910, with fever and swollen glands; a month before examination she slipped while the foot was caught between the bed and the wall; she limped that day and would not walk the next or at any time since.Examination proved negative except for the right foot, which was swollen; there was no tenderness on the tibia or fibula phalanges or metatarsus; there was moderate tenderness over the tarsus, especially on the inner side; the foot