Fourteen patients (16 hips) with idiopathic chondrolysis of the hip were retrospectively studied at the Shriners Hospital from 1973 to 1986. Follow up averaged 84 months (range 13-180 months). All 14 patients were female. All but one were premenstrual. Each patient presented with an insidious onset of pain in the hip, thigh, or knee and radiographic symmetrical joint space narrowing. Three of the 16 hips required fusions, and only five regained a full range of motion. Partial restoration of the joint space occurred in eight hips. Essential treatment consists of unloading the hip joint while maintaining motion.
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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.
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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
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Department of Orthopedic, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
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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.
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MRI Features and Treatment for Idiopathic Chondrolysis of the Hip (ICH) in Children: Outcomes of a Systematic Review.
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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.
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