Stiff hip managed with capsular incision in adolescent girl: a case report
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20223460Keywords:
Hip, Idiopathic chondrolysis, Magnetic resonance imagingAbstract
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.
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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.
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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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