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.

Author: Shazshura Telkree
Country: Colombia
Language: English (Spanish)
Genre: Business
Published (Last): 26 September 2012
Pages: 20
PDF File Size: 18.58 Mb
ePub File Size: 11.87 Mb
ISBN: 842-3-34724-524-6
Downloads: 7419
Price: Free* [*Free Regsitration Required]
Uploader: Faejar

Seven years after the initial presentation, she was pain-free. 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. More studies are required for this condition to improve the knowledge about aetiology and cjondrolysis that can be lead to effective management in the future. She ambulated with an antalgic gait, and was able to apply only limited pressure to her left hip.

Detection of cartilaginous and synovial change with MR imaging.

Ortopedia, Traumatologia, Rehabilitacja ;8: Bilateral idiopathic chondrolysis of hip — A case report. Her pain was exacerbated with movement, but still present at rest. A Fat suppressed coronal T2 weighted image shows widening of the abnormal focus in the femoral head with femoral head collapse, acetabular involvement and loss of joint space.

The course is variable, with an acute phase lasting months followed by a chronic stage of years. Proton density coronal image of the left hip demonstrates cortical irregularity of hil epiphysis and loss of femoroacetabular cartilage Click here to view.

E and F The followup MRI shows near complete restoration of the joint space and decreased wedge shaped abnormal focus in the femoral head. Pharmaceutical Sciences Journals Ann Jose ankara escort.


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

Most patients presented with hip, groin or knee pain, with limping or stiffness of the affected hip. Kurume Med J ; Support Center Support Center. Average age at presentation was 10—11 years. Noncontrast T2-weighted high-resolution axial image of the pelvis demonstrated a well-defined geographic wedge shaped area of marrow hyperintensity in the left femoral epiphysis.

Juvenile Idiopathic Chondrolysis of the Hip

MRI revealed active inflammatory arthritis of right hip joint with patchy marrow oedema and enhancement at epiphysis of right femoral head. How chondrolysiz cite this URL: Please review our privacy policy. At 2-week follow up, the pain was relieved but the range of motion had not improved. Left femoral epiphysis appears normal in contour and position Click here to view.

Her strength was decreased to the left lower extremity secondary to poor effort and left hip pain. New x-ray findings consistent with idiopathic juvenile chondrolysis of the hip were present. An year old girl presented with right hip pain of one month duration.

However he absconded from follow-up until one year later when the hip had eventually ankylosed. Associated findings like joint space narrowing, synovial hypertrophy with joint effusion may also be observed. Patients with no clear etiology have also been diagnosed with chondrolysis [ 23 ]. Our objective was to evaluate the radiological appearances in different stages of idiopathic chondrolysis of hip ICH which will be helpful in the early diagnosis and guiding appropriate treatment for this condition to prevent progression of disease.

Ultimately, most patients experience a spontaneous resolution of pain with early arthritis and often chondrolysia.

During the following months the pain was minimal, but the motion was further reduced.


Juvenile Idiopathic Chondrolysis of the Hip | OMICS International

At the time of follow-up after one, four and seven yearsall of them were pain-free but with functional joint stiffness.

Early diagnosis is important, as chonddolysis treatment with physical therapy can ensure chondrolysiss patient maintains flexibility and avoids contractures. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original chonxrolysis and source are credited.

J Bone Joint Surg Am ; Adult idiopathic chondrolysis of the hip report of 2 cases. Widening of left femoral neck present Click here to view.

Imaging-based staging system proves very useful in the early diagnosis, staging, and assessing the prognosis of ICH. Am J Roentgenol ; The radiological hallmark of this condition has been described as symmetric narrowing of the hip joint space below than 3 mmwithout frank osteophyte formation, in conjunction with periarticular osteopenia 235.

AP Left Hip Fluoroscopy during arthrogram procedure with injection of steroid.

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

Irregularity of femoral epiphysis contour seen. The initial treatment was conservative.

Flexion contractures are more prevalent in cases of idiopathic chondrolysis as compared to patients with slipped capital femoral epiphysis [ 2 ].

One month later, she described persistent and unrelenting pain.

J Orthop Allied Sci ;3: Bilski P, Snela S. Three patients in the present study presented with different clinical symptoms that could mimic SCFE, juvenile idiopathic arthritis JIA and septic arthritis.