United KingdomIdiopathic chondrolysis of the hip
Idiopathic means of unknown origin
Chondrolysis means the disappearance of articular cartilage as the result of disintegration
Idiopathic chondrolysis is well defined clinically; usually having its onset early in the
Anterior hip pain is the usual initial symptom, followed by stiffness and pain with movement. There is more information available on chondrolysis following SCFE (slipped capital femoral epiphysis), it is still speculative whether idiopathic chondrolysis and chondrolysis complicating SCFE are the same entity.
One paper concluded idiopathic chondrolysis could be a manifestation of a few cases of juvenile arthritis. Laboratory values are normal. The radiographic findings are characteristic. Osteopenia is progressive with concentric narrowing of the joint space. Protrusio acetabuli is common, as is premature physeal closure. The head remains spherical, but develops osteoarthritic changes. Pathologically, the joint capsule thickens with nonspecific low grade inflammatory changes.
Improvement has been reported following partial capsulectomy followed by traction and aggressive rehabilitation, soft tissue release with anti-inflammatory agents, and opening up the hip joint with external fixation. However, the most recent report with an average follow-up of 13 years concluded that pain relief was temporary, on long term follow-up only 2/11 patients were free of pain and one of them had had an arthrodesis.
In summary of this, IC is a fairly recently identified condition, probably within the last 10 years. It's progress is actually very similar to arthritis and with the same outcomes though with the very young age of the patients, joint replacement may not be considered a feasible procedure. However, we had seen increasing numbers of members with dysplasic hips being treated with joint replacement. With the advances in technology in this 21st century, it is becoming a more reasonable treatment to offer.
Read this thread Teenage hip replacements
Idiopathic means of unknown origin
Chondrolysis means the disappearance of articular cartilage as the result of disintegration
or dissolution of the cartilage matrix and cells
Idiopathic chondrolysis is well defined clinically; usually having its onset early in the
second decade of life, markedly in females.
Anterior hip pain is the usual initial symptom, followed by stiffness and pain with movement. There is more information available on chondrolysis following SCFE (slipped capital femoral epiphysis), it is still speculative whether idiopathic chondrolysis and chondrolysis complicating SCFE are the same entity.
One paper concluded idiopathic chondrolysis could be a manifestation of a few cases of juvenile arthritis. Laboratory values are normal. The radiographic findings are characteristic. Osteopenia is progressive with concentric narrowing of the joint space. Protrusio acetabuli is common, as is premature physeal closure. The head remains spherical, but develops osteoarthritic changes. Pathologically, the joint capsule thickens with nonspecific low grade inflammatory changes.
Improvement has been reported following partial capsulectomy followed by traction and aggressive rehabilitation, soft tissue release with anti-inflammatory agents, and opening up the hip joint with external fixation. However, the most recent report with an average follow-up of 13 years concluded that pain relief was temporary, on long term follow-up only 2/11 patients were free of pain and one of them had had an arthrodesis.
In summary of this, IC is a fairly recently identified condition, probably within the last 10 years. It's progress is actually very similar to arthritis and with the same outcomes though with the very young age of the patients, joint replacement may not be considered a feasible procedure. However, we had seen increasing numbers of members with dysplasic hips being treated with joint replacement. With the advances in technology in this 21st century, it is becoming a more reasonable treatment to offer.
Read this thread Teenage hip replacements
