Idiopathic chondrolysis of the hip: a case report and review of the literature.

Idiopathic chondrolysis of hip

“…ICH has characteristically been described to occur in adolescent girls of Afro-Asian origin. 2,3 Typical clinical features of ICH include progressive pain and stiffness, restricted movement, and no history of trauma. 4 Clinical fi ndings and the absence of trauma in our case supported the diagnosis.…”

“…The normal or near-normal values of biochemical and microbiological tests including infl ammatory parameters, bacterial serology, rheumatoid factor, C-reactive protein, antinuclear antibody, and culture of joint fl uid aspiration are suggestive of ICH. 3 The disease process begins with joint hyperemia resulting in periarticular osteopenia, which is the earliest radiographic feature and may persist for a variable period. This is followed by rapid concentric narrowing of the joint space (more pronounced in the central part), thinning and disappearance of the subchondral bone plate, and osseous fl attening.…”

“…In advanced cases, patients develop protrusio acetabuli, coxa magna, femoral neck widening, and pelvic tilt. 2,3,5 Laor and Crawford retrospectively reviewed MRI fi ndings in seven patients with ICH. All the patients showed geometric confi guration of increased marrow edema in the middle third of the femoral head extending from the articular surface to the proximal physis.…”

Chondrolysis of the hip following removal of a femoral nail

“…6 Idiopathic chondrolysis is described, but this principally affects women in the second decade. 3,7 We report a case of a 16-year-old boy who developed chondrolysis of the hip after removal of a Gross Kempf femoral nail 18 months after the initial injury. To the best of our knowledge, such a complication has never been reported in the literature.…”

Subtotal capsulectomy for idiopathic chondrolysis of the hip: A clinical, radiological and histological study

“…Nonoperative treatment with non-steriodal anti-inflammatory drugs (NSAIDs), non-weight bearing and physiotherapy, including continuous passive motion (CPM), are used. [16][17][18] In 1988 Roy and Crawford reported on a subtotal capsulectomy with soft tissue releases followed by aggressive rehabilitation. 19 Three cases were treated with good results.…”