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

Visualised left hip shows no abnormal enhancement. D GRE image shows thinning of the articular cartilage overlying the wedge shaped area. However all of them had the similar characteristic radiographic findings for ICH.

Detection of cartilaginous and synovial change with MR imaging. B Fat suppressed axial T2 weighted image shows a wedge shaped hyperintensity in the right femoral head. Pharmaceutical Sciences Journals Ann Jose ankara escort.

Moderate joint effusion also was seen Click here to view. On necrosis of the joint cartilage by epiphyseolysis capitis femoris. Idiopathic chondrolysis of the hip presents with an insidious, progressive onset of hip and groin pain.


None, Conflict of Interest: How to cite this article: Proton density coronal image of the left hip demonstrates cortical irregularity of femoral epiphysis and loss of femoroacetabular cartilage Click here to view. On exam, the patient was well developed.


The left hip was fixed in 40 degrees flexion, 20 degrees abduction, and 30 degrees of external rotation. A case report and review of the literature.

Idiopathic chondrolysis of the hip Gupta S, Choudhary MM – J Orthop Allied Sci

Radiographs of the hips showed narrowing joint space of the right side with pelvic obliquity Fig. Select your language of interest to view the total content in your interested language.

Please review our privacy policy. C Coronal T1 weighted image shows a wedge shaped hypointensity in the head of right femur. ICH is characterized by the rapidly progressive destruction of articular cartilage in the hip joint resulting in premature degeneration and subsequent joint arthrosis.

J Pediatr Orthop B. The aetiology is uncertain. Acetabular oedema seen around the triradiate cartilage involving ilium and ischium. Left femoral epiphysis appears normal in contour and position Click here to view. Idiopathic chondrolysis of the hip; A case report.

At 4-year follow up, she had normal gait. We report three cases of ICH: One month chohdrolysis, the movements of the left hip were nearly normal. The diagnosis is made by exclusion of other hip diseases with similar symptoms and signs. Concentric narrowing less than 3 mm of joint space without frank chondrolysus formation in conjunction with periarticular osteopenia is the hallmark radiographic finding 235.

The typical clinical presentation is an adolescent female with insidious onset of hip pain, limping and contracture of the hip joint most common in flexed, abducted and externally rotated position 25. She was neurovascularly intact. Plain x-ray findings in various stages Click here to view. AFat suppressed coronal T2 weighted image shows a wedge shaped hyperintensity in the middle third of proximal right femoral epiphysis.


Her strength was decreased to the left lower extremity secondary to poor effort and left hip pain. The bizarre stiff hip: Association with trauma and burns, infection, and prolonged immobilization have also been described.

Laor T, Crawford AH. Intra-operative biopsies and exploration have revealed synovitis and cartilage loss [ 2 ].

Intra-articular injections and pain pumps may be of benefit. A Chondroljsis suppressed coronal T2 weighted image shows a wedge shaped hyperintensity in the right femoral head. Antiinflammatory medications and non-steroidal anti-inflammatory medications may provide some relief. Laboratory values are normal. Childhood idiopathic chondrolysis of the hip: Home Publications Conferences Register Contact.

Juvenile Idiopathic Chondrolysis of the Hip

Introduction Hip joint chondrolysis was first reported by Waldenstrom in which referred to the condition of acute cartilage necrosis associated with slipped capital femoral epiphysis SCFEtrauma, infection, and prolonged immobilization. Idiopathic chondrolysis — An immunopathologic study. Tuberculin test was negative. Chonrolysis chondrolysis of the hip is a challenging diagnosis with devastating complications.