Hip Pelvis.  2016 Dec;28(4):243-248. 10.5371/hp.2016.28.4.243.

Bilateral Idiopathic Chondrolysis of the Hip in an Adult: A Case Report and Review of the Literature

• Moon KH
• Shin EH
• Kang JS

• KMID: 2364702
• DOI: http://doi.org/10.5371/hp.2016.28.4.243

Abstract

Idiopathic chondrolysis of the hip usually develops in adolescents and is a disease characterized by gradual degenerative changes of the hyaline cartilage surrounding the head of the femur. It eventually decreases the hip joint space and causes limitations in the hip joint range of motion due to pain. The authors had experienced an unusual case of bilateral idiopathic chondrolysis of the hip in an 54 year-old male; thus, we report the treatment results and literature reviews in this case report.

Keyword

Bilateral idiopathic chondrolysis; Cartilage diseases; Adult; Hip joint; Hip replacement arthroplasty

MeSH Terms

Adolescent
Adult*
Arthroplasty, Replacement, Hip
Cartilage Diseases
Femur
Head
Hip Joint
Hip*
Humans
Hyaline Cartilage
Male
Range of Motion, Articular

Figure

• 

  Fig. 1 Radiologic examinations. (A, B) Preoperative plain radiography of right hip joint. (C, D) Preoperative plain radiography of left hip joint.

• 

  Fig. 2 Magnetic resonance imaging (MRI) examinations. (A) Preoperative MRI images of right hip joint. (B) Preoperative MRI images of left hip joint.

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  Fig. 3 Simple radiographs after total hip replacement arthroplasty (THRA). (A) Simple hip joint anteroposterior (AP) image after THRA, right. (B) Simple hip joint AP image after THRA, left.

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  Fig. 4 Pictures of femoral heads intra-operation. (A, B) Right femoral head. (C, D) Left femoral head. Both femoral heads have extensive chondrolysis.

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  Fig. 5 Pictures of pathologic examination of right femoral head. There are synovial loose bodies, and no polymorphomuclear cell infiltration is observed. H&E stain; (A) ×12.5, (B) ×100.

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