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.

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Three patients in the present study presented with different clinical symptoms that could mimic SCFE, juvenile idiopathic arthritis JIA and septic arthritis. ICH is characterized by the rapidly progressive destruction of articular cartilage in the hip joint, in the absence of known aetiologies 15.

Femoral head and acetabulum; idiopathic chondrolysis of hip; radiological staging. Idiopathic chondrolysis treated with etanercept. Bilateral idiopathic chondrolysis of the hip: E and F MRI shows similar findings in the left hip of an 10 years old girl who presented with left hip pain and stiffness Click here to view.

Moderate joint effusion also was seen Click here to view.

Can’t read the image? The accetabulum was normal. On exam, the patient was well developed.

The diagnosis is made by exclusion of other hip diseases with similar symptoms and signs. Idiopathic chondrolysis of the hip is a challenging diagnosis with devastating complications. Early closure of epiphyseal plate seen Click here to view. Sitemap What’s New Feedback Disclaimer. In the current study, we have attempted to stage ICH based on the radiological progression of the disease, where MRI was used as the primary tool.


Juvenile Idiopathic Chondrolysis of the Hip

Eventually, tenotomy, osteotomy, hip arthrodesis or early joint arthroplasty may be required [ 13 – 15 ]. Early clinical suspicion must remain high chondrolysiw clinicians. Laboratory values are normal.

None, Conflict of Interest: Diagnosis can made with the assistance of radiographic studies. She ambulated with an antalgic gait, and was able to apply only limited pressure to her left hip.

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

Her left knee, ankle, and foot were non-tender to palpation or with range of motion. AP Left Hip Fluoroscopy during arthrogram procedure with injection of steroid. 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.

Clin Nucl Med ; Idiopathic chondrolysis is a rare condition characterized by the ultimate loss of femoroacetabular articular cartilage seen in a child with no history of trauma, slipped capital femoral epiphysis, infection, prolonged immobilization, or any other previously described disorder.


There was no family history of rheumatological diseases. The onset is early in the second decade of life chondrolysid an approximately 6: Guidelines Upcoming Special Issues. S Afr Med J ; A 11 year old female child with Stage III of Idiopathic Chondrolysis of Hip who presented with complaints of limping and right hip pain for a longer duration. She was diagnosed as synovitis of the right hip.

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

Altered signal intensity noted in the joint space, Pelvic tiltingSynovial thickening and joint effusion is also noted. B Fat suppressed coronal T1weighted coronal image shows widening of the abnormal focus in the femoral head with femoral head collapse, acetabular involvement and loss of joint space.

Later changes include complete loss of the joint space, subchondral cysts, trochanteric and epiphyseal physeal closure, osteophytes, and in severe cases, protrusio acetabuli, ankylosis, and osteoarthritis. Seven years after the initial presentation, she was pain-free.

There was restriction of flexion, adduction, internal and external rotations on the affected side. Indian J Radiol Imaging chonndrolysis A year old girl presented to another hospital with right thigh pain of 5 months duration.