Stiff hip managed with capsular incision in adolescent girl: a case report

Authors

  • Shreekantha K. S. Rao Department of Orthopaedics, Sapthagiri Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
  • Jasmal A. S. Department of Orthopaedics, Sapthagiri Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India http://orcid.org/0000-0002-8273-8222

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20223460

Keywords:

Hip, Idiopathic chondrolysis, Magnetic resonance imaging

Abstract

Idiopathic chondrolysis is an uncommon condition defined by the complete loss of femoroacetabular articular cartilage in a child with no previous trauma, slipped capital femoral epiphysis, infection, or extended immobilisation. Because of the gradual onset of symptoms, escalating radiographic abnormalities, and the lack of a diagnostic laboratory test, diagnosis is sometimes delayed. Localized osteoporosis, subchondral erosions, femoral head alterations, and a reduction in joint space are all common radiographic findings. We report a case of Idiopathic chondrolysis of the hip in a 14‑year‑old Indian girl who presented with pain and stiffness in her right hip with an MRI differential diagnosis of avascular necrosis/ tuberculosis of right hip joint.

Author Biographies

Shreekantha K. S. Rao, Department of Orthopaedics, Sapthagiri Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India

Assistant Professor 

Department of Orthopaedics 

Sapthagiri Institute of Medical Science

Jasmal A. S., Department of Orthopaedics, Sapthagiri Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India

3rd Year Post Graduate Resident 

Department of Orthopaedics 

Sapthagiri Institute of Medical Sciences 

References

Johnson K, Haigh SF, Ehtisham S, Ryder C, Gardner‑Medwin J. Childhood idiopathic chondrolysis of the hip: MRI features. Pediatr Radiol. 2003;33:194‑9.

Hughes AW. Idiopathic chondrolysis of the hip: A case report and review of the literature. Ann Rheum Dis. 1985;44:268‑72.

Del Couz Garcia A, Fernandez PL, Gonzalez MP. Idiopathic chondrolysis of the hip: long-term evolution. J Pediatr Orthop. 1999;19(4):449-54.

Korula RJ, Jebaraj I, David KS. Idiopathic chondrolysis of the hip: medium-to long-term results. ANZ J Surg. 2005;75:750-3.

Segaren N, Abdul-Jabar HB, Segaren N, Hashemi-Nejad A. Idiopathic chondrolysis of the hip: presentation, natural history and treatment options. J Pediatr Orthop B. 2014;23:112-6.

Waldenstrom H. On necrosis of the joint by epiphyseolysis capitis femoris. Acta Chir Scand. 1930;67:936-46.

Cruess RL. The pathology of acute necrosis of cartilage in slipping of the capital femoral epiphysis. A report of two cases with pathological sections.J Bone Joint Surg Am. 1963;45A:1013-24.

Durbin FC. Treatment of slipped upper femoral epiphysis. J Bone Joint Surg Br. 1960;42B:289-302.

El-Khoury GY, Mickelson MR. Chondrolysis following slipped capital femoral epiphysis. Radiology. 1977;123:327-30.

Duncan JW, Nasca R, Schrantz J. Idiopathic chondrolysis of the hip. J Bone Joint Surg Am 1979; 61:1024-28.

Heppenstal RB, Marvel JP, Chung SMK, Brighton CT. Chondrolysis of the hip. Clin Orthop. 1974;103:136-42.

Francois J, Mulier M. Idiopathic chondrolysis of the hip a case report. Acta Orthop Belg. 2007;73:653-7.

del Couz Garcia A, Fernandez PL, Gonzalez MP, Garcia AC, Gonzalez LR, Jimenez JP. Idiopathic chondrolysis of the hip: long term evolution. J Pediatr Orthop. 1999;19:449-54.

Jones BS. Adolescent chondrolysis of the hip joint. S Afr Med J. 1971;45:196-202.

Duncan JW, Schrantz JL, Nasca RJ. The bizarre stiff hip. Possible idiopathic chondrolysis. JAMA. 1975;231:382-5.

Cruess RL. The pathology of acute necrosis of cartilage in slipping of the capital femoral epiphysis. A report of two cases with pathological sections. J Bone Joint Surg Am. 1963;45A:1013-24.

Durbin FC. Treatment of slipped upper femoral epiphysis. J Bone Joint Surg Br. 1960;42B:289-302.

El-Khoury GY, Mickelson MR. Chondrolysis following slipped capital femoral epiphysis. Radiology. 1977;123:327-30.

Hughes AW. Idiopathic chondrolysis of the hip: a case report and review of the literature. Ann Rheum Dis. 1985;44:268e72.

Johnson K, Haigh SF,Ehtisham S, RyderC,Gardner-Medwin J. Childhood idiopathic chondrolysis of the hip:MRI features. Pediatr Radiol. 2003;33:194e9.

Schoenecker PL, Johnson LO, Martin RA, Doyle P, Capelli AM. Intraarticular hip arthrodesis without subtrochanteric osteotomy in adolescent: technique and short-term follow-up. Am J Orthop. 1997;26:257e64.

Mounach A, Nouijai A, Ghozlani I, Ghazi M, Bezza A, Achemlal L, El Maghraoui A. Idiopathic chondrolysis of the hip. Joint Bone Spine. 2007;74(6):656-8.

Korula RJ, Jebaraj I, David KS. Idiopathic chondrolysis of the hip: medium- to long-term results. ANZ J Surg. 2005;75:750-53

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Published

2022-12-28