What is chondrolysis of the hip?
Idiopathic chondrolysis of the hip is a rare disease in which gradual necrosis of the hyaline cartilage covering the femoral head and acetabulum leads to joint space narrowing and motion restriction. Pain, motion range limitation, and radiographic joint space narrowing are the main manifestations.
What causes chondrolysis?
The cause of chondrolysis still remains unknown. Theories include autoimmune process[17,18,19] alteration in the synovial nutrition to the articular cartilage, mechanical injury, cartilage dysplasia, ischemia, abnormal intracapsular pressure, and inherent abnormal chondrocyte metabolism.
How is chondrolysis diagnosed?
Chondrolysis has also been associated with radiofrequency or laser procedures within the joint. The diagnosis is made from a history of pain pump use, the postoperative onset of pain and stiffness, and radiographs showing loss of the joint space without osteophytes (Figs.
What is chondromalacia of the hip?
Chondromalacia of the Hip This cartilage acts as a shock absorber and allows smooth motion between the ends of bones when the hips move. Chondromalacia occurs when the articular cartilage softens and breaks down.
How common is chondrolysis?
Abstract. Idiopathic chondrolysis of the hip (ICH) is a rare condition of unknown etiology, and is characterized by rapid, progressive destruction of the articular cartilage in the coxofemoral joint. This condition has an insidious onset, and is observed more commonly in female preadolescents.
What is chondrolysis knee?
Chondrolysis refers to the loss of articular cartilage, the smooth cartilage that allows the two joint surfaces to slide and glide against each other easily. Thinning of the cartilage narrows the joint space, putting more pressure on the joint and causing painful symptoms that eventually lead to joint arthritis.
How can chondrolysis be prevented?
1126-1134. (Chondrolysis cannot be reverse, only prevented. Vast majority of cases can be prevented by avoiding intraarticular pain pump infusions.)
How is chondromalacia of the hip treated?
Non-Surgical In less severe cases, surgery for chondral defects of the hip can be avoided and patients are able to manage their pain with non-steroidal, anti-inflammatory medications, ice, and exercises as prescribed by a physical therapist. Injections into the hip can also help alleviate symptoms.
Can osteoarthritis cause chondrolysis?
Rapidly destructive osteoarthritis of the hip and rapid chondrolysis of the lateral compartment of the knee or the shoulder are rare, but have been previously described in the medical literature.
What is Grade 2 chondromalacia of the hip?
Grade 2 – Grade 2 indicates surface fibrillation or the cartilage having the appearance of shag carpet. These early changes indicate damage to the collagen that forms the structure of cartilage.
What is idiopathic chondrolysis of the hip?
Idiopathic chondrolysis of the hip is a rare disorder characterized by pain, stiffness, limp and radiological loss of joint space of the affected hip. The clinical outcome varies from complete recovery to fibrous ankylosis.
What are the signs and symptoms of chondrolysis of the hip?
Often presents with hip pain and stiffness Radiographic findings of asymmetric (mostly central) diminution of joint space (less than 3mm) Treatment aimed at restoration of motion Chondrolysis is defined as rapidly progressive loss of articular cartilage from both the femoral and acetabular sides of the hip.
What is chondrolysis of the femur?
Chondrolysis, also known as acute cartilage necrosis, represents acute cartilage destruction of the femoral head. It is one of the complications that are specifically associated with slipped capital femoral epiphysis (SCFE). It may also be associated with infection, specifically septic arthritis.
What is the history of hip joint chondrolysis?
Introduction Hip joint chondrolysis was first reported by Waldenstrom in which referred to the condition of acute cartilage necrosis associated with slipped capital femoral epiphysis (SCFE), trauma, infection, and prolonged immobilization. Jones in 1971, described a series of hip joint chondrolysis in adolescent black females.