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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Seven years after the initial presentation, she was pain-free. Knee in early juvenile rheumatoid arthritis: Early identification of the disease process is sometimes challenging. Magnetic resonance imaging of the hip demonstrates cartilage loss, joint effusion, marrow edema, femoral and acetabular remodeling, significant regional muscle atrophy, and synovial enhancement.

Please review our privacy policy. Case 2 Radiographs of both hips reveal narrowing joint space of the right hip with pelvic obliquity. SA Med J ; Her spine, upper extremities and right lower extremity examinations were within normal limits. Childhood idiopathic chondrolysis of the hip: Case 3 Radiographs of both hips reveal diffuse narrowing of the right joint space with periarticular osteopenia and subchondral bone cyst.

Idiopathic Chondrolysis of the Hip ( ICH): Report of three Cases

Later however, contractures will develop in an abducted, flexed, and externally rotated position [ 15 ]. A small portion of patients may have spontaneous resolution of pain. Average age at presentation was 10—11 years. Section of tendons and muscles, capsulotomy and chondrolysos capsulectomy have all been performed with variable success 235.

Joint effusion was seen Click here to view. D GRE image shows thinning of the articular cartilage overlying the wedge shaped area.


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

Cyondrolysis, idiopathic chondrolysis, magnetic resonance imaging. MRI is useful, and can demonstrate pathology sooner than plain radiographs including cartilage loss, muscle atrophyand a small joint effusion with no enhancement of synovium. Case 3 A year old girl presented to another hospital with right thigh pain of 5 months duration.

In clinical practice, the diagnosis is made by exclusion of other more common causes of acute or chronic monoarticular hip chondrolysls such as trauma, SCFE, septic arthritis, tuberculosis, Perthes’ disease, pigmented villonodular synovitis PVNSsynovioma and monoarticular rheumatoid arthritis.

Early closure of epiphyseal plate seen Click here to view. Pain is worse with range of motion, and eventually joint stiffness develops [ 1 ].

No rash, or lymphadenopathy was present. Chondrolysis; Hip chondrolysis; Pediatric hip; Idiopathic chondrolysis; Juvenile hip; Trauma hip; Slipped capital chondeolysis epiphysis.

Acta Chir Scand ; Patient subsequently underwent total hip replacement. Related articles Femoral head and acetabulum; idiopathic chondrolysis of hip; radiological staging. All of them had the same characteristic radiographic findings.

Moderate joint effusion also was seen Click here to view. Kurume Med J ; Can’t read the image? E and F The followup MRI shows near complete restoration of the joint space and decreased wedge shaped abnormal focus in the femoral head. Bilateral idiopathic chondrolysis of the hip: Hip joint chondrolysis was first reported by Waldenstrom in which chondrolyssis to the condition of acute cartilage necrosis associated with slipped capital femoral epiphysis SCFEtrauma, infection, and prolonged immobilization.

Juvenile Idiopathic Chondrolysis of the Hip

Adolescent chondrolysis of the hip joint. Stage 2 showed acetabular edema in the affected hip in addition to the above-mentioned findings. Idiopathic chondrolysis of the hip: Joint effusion and synovial thickening are also seen. In the current study, we have attempted to stage Chonxrolysis based on the radiological progression of the disease, where MRI was used as the primary tool.


AP Left Hip Fluoroscopy during arthrogram procedure with injection of steroid. Author information Copyright and License information Disclaimer.

Eight month post-injection follow up revealed great improvement in pain and the ability to ambulate without crutch assistance, but with a significant antalgic limp.

ICH is characterized by the rapidly progressive destruction of articular cartilage in the hip joint, in the absence of known aetiologies 15. Eventually, subchondral cystsosteopenia, and osteophytes with sclerosis may be identified [ 23 ].

Acute chondrolysis complicating slipped capital femoral epiphysis. None, Conflict of Interest: In seven out of nine cases the causes could not be identified.

Idiopathic chondrolysis treated with etanercept. Idiopathic chondrolysis of the hip in children: Patients will often ambulate with an antalgic gait [ 2 ].

Mild joint effusion was seen. chondtolysis

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

Patient compliance with range of motion and therapy is challenging due to pain with activity [ 2 ]. Stage 3 showed more extensive involvement of femoral head and acetabulum, with collapse of the femoral head, degenerative changes in hip, early osteoporotic changes, and ultimately loss of joint space. Ann Rheum Dis ; Laboratory tests are usually normal. We report a case of Idiopathic chondrolysis of the hip in an year-old Indian girl.

MR imaging of transient synovitis: