Chondrolysis can occur spontaneously, before any treatment, or may be found when the patient first presents with scfe. The clinical outcome varies from complete recovery to fibrous ankylosis. It can also occur after any type of treatment but it is particularly associated with pin joint. Apr 22, 20 chondrolysis represents a process characterizedby progressive destruction of articular cartilageresulting in secondary joint space narrowing andstiffness slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Idiopathic chondrolysis is characterised by progressive destruction of articular cartilage resulting in secondary joint space narrowing and. Chondrolysis of the hip pediatric orthopaedic society of north. Idiopathic chondrolysis in adults treated with surgical dislocation of the hip shiro hirose, hiromi otsuka, takkan morishima, kazutaka watanabe, keiji sato department of orthopaedic surgery, aichi medical university, japan introduction idiopathic chondrolysis of the hip ich was first reported by. During shoulder arthroscopy, the joint of the shoulder is examined, and possibly operated on, using a miniature camera, lighting equipment, and surgical tools. Idiopathic chondrolysis of the hip was first described by waldenstrom in 1930. The side of pain and duration of symptoms until the mri exami nation were recorded. Pdf pipkins type ii fracture dislocation of the hip. Idiopathic chondrolysis of the hip has an insidious beginning and affects more often female adolescents.
Chondrolysis is defined as a generalized all over loss of the articular surface cartilage of the glenohumeral joint. It was characterized by clinical presentation, laboratory tests, and imaging techniques. Juvenile idiopathic chondrolysis of the hip hilaris. Pdf idiopathic chondrolysis of the hip researchgate. The mri features of this disease have not previously been described. My sister says she got this after having arthroscopic shoulder. Cases of chondrolysis in the absence of other abnormalities were described by jones in 1971, moule and golding in 1974, and wenger mickelson and ponseti in 1975. A differential diagnosis is discussed highlighting the radiological features for quick diagnosis. It is characterized by the rapidly progressive destruction of articular cartilage in the hip joint resulting in premature degeneration and subsequent joint arthrosis. Failure of nutrition of articular cartilage due to apaucity or complete lack of production of synovialfluid. The association between idiopathic chondrolysis of the hip and primary protrusio acetabuli ottos pelvis is discussed. Chondrolysis of the hip complicating slipped capital femoral. All files uploaded will be permanently deleted from our server after one hour. Pdf idiopathic chondrolysis of the hip is a rare disorder characterized by pain, stiffness, limp and radiological loss of joint space of the affected.
Rapid destructive osteoarthritis of the hip after intra. Chondrolysis uw orthopaedics and sports medicine, seattle. May 24, 2011 an uncommon case of idiopathic chondrolysis of the hip in an 11yearold girl is reported. Whats the best treatment for chondrolysis of the knee. Chondrolysis is defined as rapidly progressive loss of articular cartilage from both the femoral and acetabular sides of the hip. Three cases of idiopathic chondrolysis were treated by a subtotal circumferential capsulectomy with followup for 3 years and 1 month. Chondrolysis is a clinical condition characterized by rapid destruction of articular cartilage on both sides of the joint leading to loss of joint space and joint stiffness.
Adultonset idiopathic chondrolysis of the hip springerlink. Idiopathic chondrolysis of the hip is a rare condition without known antecedent cause, in which there is rapid destruction of articular cartilage, followed by varying degrees of regeneration or. A joint penetration was reported during the operation, which is one of the causes of chondrolysis. Idiopathic chondrolysis of the hip is a rare condition of unknown etiology characterized by progressive destruction of the hyaline cartilage that covers the femoral. Chondrolysis definition of chondrolysis by medical dictionary. The objective of our study was to identify the early mri findings characteristic of idiopathic chondrolysis of the hip in children. This contrasts to other hip pathology including fracture, infection and joint effusion, which typically are associated with the hip in an abducted and externally rotated position. We believe that this aggressive management is well justified when one considers the results of previous published reports. Chondrolysis of the hip is a disorder most frequently seen in children who have suffered with slipped capital femoral epiphyses. We aim to outline the natural history and pathology of the disease and treatment strategies. Chondrolysis of the hip is a disorder most frequently seen in children who have suffered with. Ive been diagnosed with this problem and im searching for some solutions. Chondrolysis of the hip is defined as an extensive loss of articular cartilage of the femoral head and acetabulum. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals.
Postarthroscopic glenohumeral chondrolysis pagcl is a rare complication of arthroscopic surgery and involves chondrolysis wherein the articular cartilage of the shoulder undergoes rapid, degenerative changes shortly after arthroscopic surgery. The primary cause of pathology is the mismatch between mechanical impact on the joint and its ability to resist this effect. Postarthroscopic glenohumeral chondrolysis has been directly linked to the use of a shoulder pain pump following shoulder surgery. Full text get a printable copy pdf file of the complete article 944k, or click on a page image below to browse page by page. Chondrolysis of the hip is a debilitating disorder that results in extensive loss of articular cartilage of the proximal femoral epiphysis and acetabulum with resultant joint space narrowing and. Rapid chondrolysis of the medial knee compartment after. The insidious nature of the symptoms and lack of early radiographic findings and diagnostic testing often.
Chondrolysis occurs in children as well as in adults 2. Idiopathic chondrolysis of the hip 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. Management by subtotal capsulectomy and aggressive rehabilitation. The symptoms of postarthroscopic glenohumeral chondrolysis typically occur months after the individual has undergone a surgical procedure known as shoulder arthroscopy. Despite speculation among clinicians and researchers about the implicit causal pathways and etiologic contributors associated with 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. To the best of our knowledge, no case of medial femorotibial compartment chondrolysis after arthroscopy has yet been described. Idiopathic chondrolysis of the hip is a rare disorder characterized by pain, stiffness, limp and radiological loss of joint space of the affected hip. Symptoms of postarthroscopic glenohumeral chondrolysis pagcl. It can occur in otherwise healthy shoulders after arthroscopic procedures. Pain, motion range limitation, and radiographic joint space narrowing are the main manifestations. Department of orthopaedics, childrens hospital medical center, cincinnati, ohio address correspondence and reprint. Idiopathic chondrolysis of the hip ich is a rare condition, occurring mostly in black female adolescence. Effect of oral diacerein dar in an experimental hip chondrolysis model.
Chondrolysis is a rare disease characterized by destruction of cartilage of joints such as hip, knee, ankle, or shoulder. Rarely see restrictions in range of motion as that seen with idiopathic chondrolysis. You will see additional joint involvement and the hlab27 will be positive. Hip rehabilitation exercises to ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Although the disease was first described in the hip, reports of chondrolysis in nearly all diarthrodial joints have since emerged with considerable variations in the literature.
Chondrolysis is a severe type of shoulder arthritis in which the cartilage of the joint is abruptly lost. Childhood idiopathic chondrolysis of the hip ich causes progressive destruction of the articular cartilage of the hip joint with associated bone remodelling. Nine patients with chondrolysis secondary to slipped capital femoral epiphysis of the hip were followed up from a minimum of 7 to a maximum of 19 years average. It may be related to an acl repair i had done two years ago. We report the case of a 23yearold man diagnosed with adultonset idiopathic chondrolysis of the hip. The average age of a patient who experiences chondrolysis after shoulder arthroscopy is 26. Severe chondrolysis has been reported in patients who had undergone continuous intraarticular infusion of bupivacaine at arthroscopy. A 14yearold girl presented to our institute with pain of insidious onset in the right hip, associated with a limp since 18 months. Pdf effect of oral diacerein dar in an experimental. The glenohumeral joint refers to both sides of the shoulder joint.
Shoulder chondrolysis typically develops very quickly, sometimes over weeks or months. Pdf total hip arthroplasty in idiopathic chondrolysis of. It usually occurs in younger patients and is most often associated with recent arthroscopic surgery. Postarthroscopic glenohumeral chondrolysis lawsuits pagcl. Unlike other services this tool doesnt change the dpi, thus keeping your documents printable and zoomable. Several theories have been proposed regarding the cause of the disease with some of them. Idiopathic chondrolysis of the hip joint replacement. It can occur due to effect of various anesthetic agents like bupivacaine, lidocaine, ropivacaine and levobupivacaine are all toxic to cartilage and their intraarticular infusions can lead to this toxic effect. Hirose s, otsuka h, morishima t, watanabe k, sato k 2014 idiopathic chondrolysis in adults treated with surgical dislocation of the hip. Pipkins type ii fracture dislocation of the hip presenting as chondrolysis. Corresponding author shiro hirose, department of orthopaedic surgery, aichi medical university, school of medicine. Symptoms of postarthroscopic glenohumeral chondrolysis. Chondrolysis has most commonly been described in the hip, shoulder, and knee joints. In the hip joint, the injury is often a trauma resulting in hip fracture or in association with various developmental conditions of the growth plate.
It is usually seen in elderly women, and the characteristic feature is the rapid progression within 6 to 12 months to complete destruction of the joint. Radiographs revealed reconstitution of the joint space in all cases. Chondrolysis definition at, a free online dictionary with pronunciation, synonyms and translation. Postarthroscopic glenohumeral chondrolysis wikipedia.
Idiopathic chondrolysis of the hip linkedin slideshare. Reduction in the arc of motion of the hip in all planes and motion is usually painful during the hip examination. Idiopathic chondrolysis of the hip is extremely rare and to our knowledge, its onset has never been documented in adults aged over 20. Chondrosis of the hip joint tbs, or the hip is a progressive degenerative disease that primarily affects the cartilage, with subsequent development of osteophytes and deformation of the joint, until the disability. Idiopathic chondrolysis of the hip in children has been well documented in the literature.
Chondrolysis of the hip pediatric orthopaedic society of. Idiopathic chondrolysis of the hip is a rare condition occurring mainly in adolescents and is characterised by a rapidly progressive destruction of the articular cartilage. Then just wait that the conversion from pdf to word is complete and download the file. Patient who are most at risk for developing chondrolysis are those who present with a joint injury, says dr. Report of three cases 31 case 3 a 12year old girl presented to another hospital with right thigh pain of 5 months duration. Idiopathic chondrolysis of the hip is a rare condition of unknown etiology characterized by progressive destruction of the hyaline cartilage that covers the femoral head and acetabulum. Ich is characterized by the rapidly progressive destruction of articular cartilage in the hip joint, in the absence of known aetiologies 1,5.
Many paediatric conditions can lead to chondrolysis of the hip such as slipped capital femoral epiphysis, perthes disease, trauma, immobilisation for a long time, infectiveinflammatory joint diseases and malignancies. Multiple conditions can mimic rapid destructive hip disease, including infection, malignancy, neuropathic arthropathy, inflammatory arthritis, osteonecrosis, hemophilia, and onchronosis. The full text of this article is available in pdf format. Any information contained in this pdf file is automatically generated from digital material submitted to epos by third parties in the form of scientific presentations. This online pdf compressor allows to compress pdf files without degrading the resolution dpi, thus keeping your files printable and zoomable. Chondrolysis definition of chondrolysis by medical. Chondrolysis of the shoulder after arthroscopy association with pain pumps to infuse local anesthetics after shoulder arthroscopy. 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. Characterized by an acute form of rapidlyprogressive chondrolysis occurring mostfrequently during adolescence withisolated involvement of the hip joint, butwithout a demonstrable cause. It may be idiopathic jones 1971 or secondary to underlying conditions, such as slipped capital femoral epiphysis scfe, intraarticular penetration of scfe pins, infection, inflammatory arthritis, prolonged. Rapid destructive osteoarthritis of the hip is a separate entity different from the usual osteoarthritis. Idiopathic hip chondrolysis is a rare disorder, the pathophysiology of which has not been fully elucidated.
Aug 06, 2017 idiopathic chondrolysis of the hip 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. To document the mri features of childhood ich and determine which features may help distinguish ich from other causes of hip joint destruction in the paediatric. Idiopathic chondrolysis in adults treated with surgical. There is an extended period of time with symptoms prior to chondrolysis. This girl had a slipped capital femoral epiphysisscfe 3 months ago and had been treated by percutaneous pin fixation. Startzman as, hawkes t, beterand s juvenile idiopathic chondrolysis of the hip. Apr 27, 2019 idiopathic chondrolysis treated with etanercept. You can crop the pdf to a selected area or choose autocrop option, to try and remove all margins automatically.
1114 1681 643 744 1558 962 1166 1048 1609 211 1334 1126 1024 1610 1130 1390 1261 363 1226 467 1433 307 406 1347 1503 1595 1323 1680 1512 660 1450 1036 146 278 179 124 1474 1363 1347 794