We report the case of a 23-year-old man diagnosed with adult-onset idiopathic chondrolysis of the hip. Chondrolysis of the hip is a disorder most frequently seen in children who have suffered with slipped capital femoral epiphyses. Idiopathic chondrolysis of the hip is extremely rare and to our knowledge, its onset has never been documented in adults aged over 20. With reference to the available medical literature, we summarise the current clinical management of this unusual but important cause of young adult hip pain.
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http://dx.doi.org/10.1007/s00256-017-2589-6 | DOI Listing |
Cureus
April 2024
Trauma & Orthopaedics, University Hospital of Wales, Cardiff, GBR.
Introduction: Native hip dislocations are defined as traumatic dislocations of the hip, typically high-energy and associated with polytrauma. The majority of these injuries occur following motor vehicle accidents (MVAs). Due to the inherent stability of the hip joint, a significant force is required to cause dislocation.
View Article and Find Full Text PDFPurpose: 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.
J Hip Preserv Surg
September 2023
Department of Trauma and Orthopaedics, University Hospitals Plymouth, Plymouth PL6 8DH, UK.
In severe, stable slipped capital femoral epiphysis, it is unclear whether pinning (PIS) or capital realignment procedures (CRPs) are superior. Our primary aim was to compare patient-reported outcome measures (PROMs) following each strategy. Secondary aims were to compare rates of femoral head avascular necrosis (AVN) and complications.
View Article and Find Full Text PDFCureus
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 PDFIndian J Orthop
May 2023
Advocate Children's Hospital, Oak Lawn, IL 60453 USA.
Background: Safe surgical dislocation of the hip is a versatile approach to the hip joint with a low complication rate. Hip joint instability is a devastating complication with poor prognosis.
Methods: All hips treated surgically through the safe surgical dislocation approach were entered in a database and the complication of hip joint instability was studied prospectively from 2000 to 2021.
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