Idiopathic chondrolysis of the hip A distinct clinical entity?

H, van der Hoeven; Keessen, W; Kuis, Wietse

doi:10.3109/17453678909149597

Cited by 19 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In advanced cases, patients develop protrusio acetabuli, coxa magna, femoral neck widening, and pelvic tilt. 2,3,5 Laor and Crawford retrospectively reviewed MRI fi ndings in seven patients with ICH. All the patients showed geometric confi guration of increased marrow edema in the middle third of the femoral head extending from the articular surface to the proximal physis.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic chondrolysis of hip

et al. 2011

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Idiopathic chondrolysis of hip

et al. 2011

View full text Add to dashboard Cite

show abstract

“…We excluded one case from two studies due to insu cient description and poor MRI (9,37). There were 8 cases/hips from 7 studies (7-10, 25, 35, 39) and 106 cases/115 hips from 22 studies (4-5,11-12,14-24, 26, [29][30][31][32][33]38) for assessment of secondary outcomes (pharmacological and operative interventions) for ICH.…”

Section: Demographic Outcomesmentioning

confidence: 99%

“…5):We pooled 106 cases/115 hips from 22 reports under operative interventions group for ICH. There were 45 subtotal/partial capsulectomies ( 4-5, 14, 18, 21, 26, 29, 38), 18 THA (4-5, 12, 18, 22), 14 open arthrotomies with or without biopsy and debridement (14, 16-17, 19-20, 24, 33), ve arthrodiastasis ( 5,15,32) , ve arthrodesis (18-19, 21, 23,) three osteotomies (16,19,29), three excision arthroplasties (19,21), one each hanging hip operation, mould, cup and resurfacing arthroplasties (14,19,21). Tenotomies of muscle and soft tissue releases were either isolated or combined with other surgical procedures in 25 hips (14,(17)(18)22,26,(29)(30).…”

Section: Secondary Outcomesmentioning

confidence: 99%

MRI features and treatment options for Idiopathic Chondrolysis of the Hip (ICH) in children. Outcomes of a systematic review.

Nema

Ramasubramani

Austine

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: The purpose of this paper is to review the MRI features and treatment for idiopathic chondrolysis of the hip (ICH) in patients aged 18 years or less. Methods: We included studies published in English up to August 2021. We accessed major electronic bibliographic databases on ICH that described MRI features, treatment, or both. We used the Joanna Briggs Institute (JBI) Critical appraisal checklist for case reports for Risk of bias assessment.Results: We pooled 136 hips (125 participants) from 35 studies with 11.6 ± 3.4 years mean age. We had 46, 8, and 106 hips to assess ICH's MRI, pharmacological, and operative interventions. Geometric marrow edema (GME) (P < 0.01), diffuse marrow edema (DME) (P < 0.05), diffuse cartilage loss (DCL) (P < 0.05), and joint effusion (P < 0.05), were significantly associated with time in first MRI reviews. GME (P < 0.01) and focal cartilage loss (FCL) (P < 0.01) decreased significantly between two MRI reviews at median time of 1.75 (IQR 0.93-4.25) and 12.5 (IQR 3.75-19.5) months. Diffuse cartilage loss (P < 0.01) and degenerative changes (P < 0.01) increased significantly between the two MRI reviews. Etanercept, Methotrexate, and Botulinum Neurotoxin A drugs were used by 3, 3, and 1 report to treat ICH. Capsulectomies, total hip arthroplasty, arthrodiastasis, arthrodesis, arthroscopy operations treated 45, 18, 5, 5, and 2 hips. Discussion: GME may be the most specific and early MRI feature in diagnosing ICH. GME and DME show an inverse relationship over time. So, it is with FCL and DCL. Despite reports on the efficacy of biologics, immunomodulators, and operations, early and late ICH management remains controversial due to poor quality studies.

show abstract

“…More recently, Sherlock 3 suggested that idiopathic chondrolysis and primary acetabular protrusio might be the same disease. In spite of the fact that its existence has been questioned 4 , there have nevertheless been several reports of idiopathic chondrolysis of the hip from different parts of the world over the past 10−15 years 5−8 . Duncan et al 7 .…”

Section: Introductionmentioning

confidence: 99%