OBJECTIVE. The objective of our study was to identify the early MRI findings characteristic of idiopathic chondrolysis of the hip in children. CONCLUSION. Citation: Startzman AS, Hawkes T, Beterand S () Juvenile Idiopathic Chondrolysis of the Hip. J Trauma Treat doi: / . PDF | Idiopathic chondrolysis of the hip is a rare disorder characterized by pain, stiffness, limp and radiological loss of joint space of the affected.

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The course is variable, with an acute phase lasting months followed by a chronic stage of years.

Case 2 Radiographs of both hips reveal narrowing xhondrolysis space of the right hip with pelvic obliquity. Imaging-based staging system proves very useful in the early diagnosis, staging, and assessing the prognosis of ICH.

The radiological hallmark of this condition has been described as symmetric narrowing chojdrolysis the hip joint space below than 3 mmwithout frank osteophyte formation, in conjunction with periarticular osteopenia 235.

It is characterized by the rapidly progressive destruction of articular cartilage in the hip joint resulting in premature degeneration and subsequent joint arthrosis.

Awareness of the existence of this disease will chondropysis to earlier diagnosis. This is an open-access article distributed under the terms of the Creative Commons Attribution Hlp, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Gupta S, Choudhary MM. An year-old African American female presented to the pediatric orthopedic clinic 6 months after developing pain to her left hip.

A Coronal fat suppressed T2 weighted image shows a wedge shaped hyperintensity in the middle third of proximal right femoral head epiphysis is characterstic of idiopathic chondrolysis of hip.


Cuondrolysis left hip was fixed in 40 degrees flexion, 20 degrees abduction, and 30 degrees of external rotation. Early in the course of illness however, no changes on x-ray may be identified. Later however, contractures will develop in an abducted, flexed, and externally rotated position [ 15 ]. Patients with no clear etiology have also been diagnosed with chondrolysis [ 23 ]. C Coronal T1weighted image shows wedge shaped hypointensity in the right femoral head.

On exam, the patient was well developed. Cgondrolysis skin was intact with no evidence of erythema, ecchymosis, or warmth. New proposal and implication for radiological staging.

Chondrolysis of the hip in an adolescent: clinical and radiological outcomes.

Associated findings like joint space narrowing, synovial hypertrophy with joint effusion may also be observed. Initially, chondrolysis was identified in patients following slipped capital femoral epiphysis [ 1 ]. Hcondrolysis subsequently underwent total hip replacement. Eight month post-injection follow up revealed great improvement in pain and cbondrolysis ability chondrolysls ambulate without crutch assistance, but with a significant antalgic limp.

Bilateral idiopathic chondrolysis of the hip: Associations with trauma, burns, infectionand prolonged immobilization have also been described. Concentric narrowing less than 3 mm of joint space without frank osteophyte formation in conjunction with periarticular osteopenia is the hallmark radiographic finding 235. Idiopathic chondrolysis of the hip is a challenging diagnosis with devastating complications.

Coronal short tau inversion recovery images including both hips reveals a T2 hyperintense area in the left femoral epiphysis involving the middle third of epiphysis.

During the following months the pain was minimal, but the motion was further reduced. Magnetic resonance imaging of the hip demonstrates cartilage loss, joint effusion, marrow edema, femoral and acetabular remodeling, significant regional muscle atrophy, and synovial enhancement.

D GRE image shows thinning of the articular cartilage overlying the wedge shaped area. There are characteristic clinical and radiological features but no effective therapy to delay degenerative process chomdrolysis the disease.


Ann Jose ankara escort. Kozlowski K, Scougall J. The accetabulum was normal. A year old girl presented to another hospital with right thigh pain of 5 months duration.

Chondrolysis of the hip in an adolescent: clinical and radiological outcomes.

Pain is worse with range of motion, and eventually joint stiffness develops [ 1 ]. Chondrolysis; Hip chondrolysis; Pediatric hip; Idiopathic chondrolysis; Juvenile hip; Trauma hip; Slipped capital femoral epiphysis.

Idiopathic chondrolysis of the hip joint in adolescents: Chondrolysis; Idiopathic; Hip; Paediatric; Stiffness. The three aims of treatment are pain relief, deformity correction and restoration of motion 3.

Idiopathic chondrolysis of the hip: Patients will often ambulate with an antalgic gait [ 2 ]. Medium- to long-term results. Chondrolyssi chondrolysis of the hip in children: Muscle release for correction of abduction contracture was done simultaneously.

Can’t read the image? Bilski P, Snela S. However, since her symptoms did not subside and septic arthritis could not be excluded, arthrotomy of the right hip joint was performed.

There was no family history of rheumatological diseases. Sparks LT, Dall G. National Center for Biotechnology InformationU. Early identification of the disease process is sometimes challenging. Chondrolysks was diagnosed as synovitis of the right hip. Agri and Aquaculture Journals Dr.

One month later, the movements of the left hip were nearly normal.