The first case of idiopathic chondrolysis of the hip from South-East Asia is reported, with a review of the literature. The problems of differential diagnosis are discussed. As the condition is rare, it is likely to be misdiagnosed and may well be over-treated. The rarity of the condition and its natural history terminating in spontaneous fusion make it mandatory that a correct preoperative diagnosis be established in order to avoid needless radical surgery. Some of the significant clinicopathological findings are highlighted.
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Purpose: Idiopathic chondrolysis of the hip is characterized by the loss of the articular cartilage of the hip joint with spectrum ranging from full recovery to fibrous ankylosis. Study assessed outcomes following intra-articular steroid injections, joint manipulation and traction immobilization.
Methods: Retrospective (2012-2021) review of 41 cases treated for idiopathic chondrolysis of hip, assessed pre-operatively and post-operatively (minimum 2-year follow-up) using Children's Hospital Oakland Hip Evaluation Score (CHOHES), visual analogue scale (VAS) and range of motion measurements.
Idiopathic Chondrolysis of the Hip in Two Adolescent Females: A Six-Year Follow-Up.
Cureus
May 2023
Orthopaedics, Hamad General Hospital, Doha, QAT.
Idiopathic chondrolysis of the hip (ICH) is a rare condition with only a few cases reported in the literature. The average age at the onset of the disease is 11 years, with females having six times higher incidence than males. We report two cases of ICH in two medically free 10-year-old females who presented with atraumatic insidious hip pain and limping.
View Article and Find Full Text PDFDiagnosis and treatment of 10 cases of idiopathic chondrolysis of the hip.
J Child Orthop
April 2023
Department of Orthopedic, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Objective: To analyze the clinical characteristics, X-ray and magnetic resonance imaging manifestations, and treatment efficacy of idiopathic chondrolysis of the hip.
Methods: Ten patients with idiopathic chondrolysis of the hip treated at our hospital from September 2013 to April 2022 were collected, and their clinical features, X-ray and magnetic resonance imaging manifestations, and treatment outcomes were analyzed.
Results: Their main clinical features included single hip pain, claudication gait, and pelvic tilt, without specific clinical symptoms and signs.
Idiopathic Capital Femoral Chondrolysis: A Case Report.
Cureus
September 2022
Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Article Synopsis
- Idiopathic capital femoral chondrolysis is a rare condition seen mainly in pre-adolescent African-American girls, characterized by hip pain, stiffness, and limping.
- Physical exams may show a range of contractures and muscle spasms leading to limited hip mobility.
- A 10-year-old patient diagnosed with this condition had an arthroscopic evaluation and lavage, and after two months, she experienced painless limping, later requiring soft tissue release surgery.
MRI Features and Treatment for Idiopathic Chondrolysis of the Hip (ICH) in Children: Outcomes of a Systematic Review.
Indian J Orthop
September 2022
PDCC-Advanced Imaging, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605006 India.
Background: The purpose of this paper was to review the MRI features and treatment for idiopathic chondrolysis of the hip (ICH) in patients aged 18 years or less.
Methods: We included studies published in English up to August 2021. We accessed major electronic bibliographic databases on ICH that described MRI features, treatment, or both.
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