Idiopathic chondrolysis of the hip: medium‐ to long‐term results

Korula, Roy John; Jebaraj, Isaac; David, Kenny Samuel

doi:10.1111/j.1445-2197.2005.03512.x

Cited by 31 publications

(34 citation statements)

References 10 publications

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“…Korula y col publicaron el mayor número de casos tratados quirúrgicamente (21 casos). Realizaron una capsulectomía subtotal cuando fallaba el tratamiento conservador, con mejoría significativa del movimiento de la articulación 11 . La artroplastia de sustitución por debajo de los 20 años de edad es controvertida y no se recomienda actualmente 2 .…”

Section: Discussionunclassified

Idiopatic chondrolysis of the hip. Long-term follow-up of a case

García-Mata

Sarmiento

Duart

et al. 2016

An Sist Sanit Navar

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REsuMEnLa condrolisis idiopática de cadera es una rara condición que se presenta durante la adolescencia. Se caracteriza por dolor y cojera producidos por una pérdida acelerada del cartílago articular con una disminución del grado de movilidad llegando a rigidez. La historia va desde la resolución espontánea completa a la anquilosis. El tratamiento recomendado actualmente es el conservador. Se presenta el caso clínico de un paciente de 11 años de edad con un cuadro clínico de 2 años de evolución tórpida de dolor inguinal izquierdo acompañado de cojera y rigidez. Se instauró reposo, descarga, analgésicos y rehabilitación sin mejoría inicial. Posteriormente recibió tratamiento conservador con AINE, periodos de descarga de la extremidad, tracción blanda hospitalaria, tracción ambulatoria nocturna y rehabilitación, recuperando la movilidad y marcha normal 6 años después del inicio de los sín-tomas. Catorce años más tarde el paciente hace una vida normal, asintomático y con movilidad simétrica de ambas caderas.Palabras clave. Condrolisis. Idiopática. Cadera. Rigidez. Tratamiento conservador. abstRactIdiopathic chondrolysis of the hip is a very rare disease occurring during adolescence. Pain and limp are the most common symptoms and are a consequence of an accelerated loss of the articular cartilage with a lower range of movement producing rigidity in the last instance. The natural history is unpredictable and varies between complete and spontaneous recovery and the ankylosis. The current recommended treatment is conservative, restricting the surgical option for residual stiffness. A clinical case of an eleven year old patient is presented. He consulted for a 2 year, torpid course of left groin pain with limp and rigidity. He received treatment with rest, discharge, analgesics and rehabilitation without any improvement initially. He was treated conservatively with NSAIDS, extremity discharge periods, soft traction in the hospital and at home and rehabilitation, recovering mobility and normal gait 6 years after the beginning of the symptoms. Twelve years after the onset of the symptoms the patient leads a normal life without symptoms and has a symmetric range of motion of both hips.

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Section: Discussionunclassified

Idiopatic chondrolysis of the hip. Long-term follow-up of a case

García-Mata

Sarmiento

Duart

et al. 2016

An Sist Sanit Navar

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“…The radiographic findings are characteristic. The radiological hallmark of this condition has been described as symmetric narrowing of the hip joint space (<3 mm), without frank osteophyte formation, in conjunction with periarticular osteopenia 2,3,5 . A variety of possible radiographic findings without significant pathological related has been reported 2,3,5 .…”

Section: Discussionmentioning

confidence: 99%

“…ICH is characterized by the rapidly progressive destruction of articular cartilage in the hip joint, in the absence of known aetiologies [1][2][3][4][5] . The diagnosis is made by exclusion of other hip diseases with similar symptoms and signs.…”

Section: Introductionmentioning

confidence: 99%

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

Dechosilpa¹,

Mulpruek²,

Woratanarat³

et al. 2014

MOJ

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Idiopathic Chondrolysis of the Hip (ICH) is a rare condition, occurring mostly in black female adolescence. It is characterized by the rapidly progressive destruction of articular cartilage in the hip joint resulting in premature degeneration and subsequent joint arthrosis. We report three cases of ICH: a 13-year old boy presented with left knee pain, an 11-year old girl with right hip pain and a 12-year old girl with right thigh pain. All of them had the same characteristic radiographic findings. The initial treatment was started conservatively. Surgical treatment was performed in one patient in order to confirm diagnosis and correct deformity.

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“…13 They also reported restoration of the joint space on radiographs. 19 Other authors however reported clinical and radiological progression of the disease following similar surgical procedures 39,40,43 and early clinical improvement with radiological deterioration and no long-term benefit. 20 In all our cases the pain was improved following surgery, with four out of five cases pain-free.…”

Section: Outcomementioning

confidence: 99%

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

Laubscher¹,

Banderker²,

Pillay³

et al. 2016

SA orthop. j.

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Background: Idiopathic chondrolysis (IC) of the hip is a rare, disabling condition affecting mainly adolescent females. Cartilage necrosis results in a stiff, painful hip which in the majority of cases have a poor outcome. The aetiology still remains unknown and the treatment is controversial and relatively unsuccessful. Subtotal capsulectomy with soft tissue releases has been reported to give good results.

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Idiopathic chondrolysis of the hip: medium‐ to long‐term results

Abstract: Circumferential capsulectomy with aggressive mobilization of the hip can correct the deformities associated with this condition, although long-term results are uniformly disappointing with regard to return of hip joint motion in cases of late presentation.

Cited by 31 publications

References 10 publications

Idiopatic chondrolysis of the hip. Long-term follow-up of a case

Idiopatic chondrolysis of the hip. Long-term follow-up of a case

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

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

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