alexa Juvenile Idiopathic Chondrolysis of the Hip
ISSN: 2167-1222

Journal of Trauma & Treatment
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Case Report

Juvenile Idiopathic Chondrolysis of the Hip

Startzman AS1*, Hawkes T1 and Beterand S2

1Department of Orthopedics, Broward Health Medical Center, USA

2Department of Orthopedics, Georgia Regents University, USA

*Corresponding Author:
Startzman AS
Department of Orthopedics
Broward Health Medical Center, USA
Tel: 954-355-2091
Fax: 954-888-3448
E-mail: [email protected]

Received date: Feb 24, 2016; Accepted date: Jun 28, 2016; Published date: Jun 30, 2016

Citation: Startzman AS, Hawkes T, Beterand S (2016) Juvenile Idiopathic Chondrolysis of the Hip. J Trauma Treat 5:312. doi: 10.4172/2167-1222.1000312

Copyright: © 2016 Startzman AS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Clinicians must be aware of this rare but devastating diagnosis, as early diagnosis may improve prognosis. Case presentation: An 11-year-old African American female presented to a pediatric orthopedic clinic with a 6- month history of insidious onset left hip pain. Over 6-months her pain became more severe, and limited her ability to walk. The left hip was fixed in 40-degrees flexion, 20-degrees abduction, and 30-degrees of external rotation. New x-ray findings consistent with idiopathic juvenile chondrolysis of the hip were present. Discussion: First described in the early 1900s, chondrolysis of the hip was initially identified in patients following slipped capital femoral epiphysis. Later, patients with no clear etiology were diagnosed. Associations with trauma, burns, infection, and prolonged immobilization have also been described. The course is variable, with an acute phase lasting 6-16 months followed by a chronic stage of 3-5 years. Conclusion: Idiopathic chondrolysis of the hip is a challenging diagnosis with devastating complications. Ultimately, most patients experience a spontaneous resolution of pain, develop early arthritis, and often arthrodesis

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