Idiopathic Chondrolysis of the Hip Treated by Immunosuppressive Therapy and Arthroscopic Intervention

Acta Med Okayama. 2020 Feb;74(1):77-81. doi: 10.18926/AMO/57957.

Abstract

Idiopathic chondrolysis of the hip (ICH), a very rare disorder of unknown etiology, occurs mainly in female adolescents. Characterized by pain, limp, stiffness and radiological narrowing joint space from the rapid destruction of the articular cartilage, ICH sometimes results in ankyloses. We present the case of a 10-year-old girl diagnosed with ICH based on arthroscopic inspection and synovium biopsy. The femoral deformity appeared gradually, like a cam-type femoroacetabular impingement. She was treated with intensive rehabilitation and immunosuppressive drug. We later performed an arthroscopic bumpectomy for residual symptoms. She achieved a favorable outcome as a 15-year-old at the latest follow-up.

Keywords: arthroscopy; bump; hip joint; idiopathic chondrolysis; medication.

Publication types

  • Case Reports

MeSH terms

  • Arthroscopy
  • Cartilage Diseases / diagnosis*
  • Cartilage Diseases / surgery
  • Cartilage Diseases / therapy
  • Child
  • Female
  • Hip Joint / diagnostic imaging
  • Hip Joint / pathology*
  • Hip Joint / surgery
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Magnetic Resonance Imaging
  • Methotrexate / administration & dosage
  • Range of Motion, Articular
  • Tomography, X-Ray Computed

Substances

  • Immunosuppressive Agents
  • Methotrexate