Bilateral idiopathic chondrolysis of the hip: A case report

Irina Rachinsky, Ludmila Boguslavsky, Eugene Cohen, Yancu Hertzanu, Sophie Lantsberg

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations

Abstract

A case of bilateral idiopathic chondrolysis of the hip is presented. Chondrolysis is a process characterized by progressive necrosis of the hyaline cartilage of the acetabulum and femoral head, resulting in secondary joint space narrowing and stiffness. A 14-year-old boy was followed during a 2-year period, and the diagnostic values of the different imaging methods (radiography, magnetic resonance imaging [MRI], and bone scintigraphy) were evaluated. Scintigraphic evidence of marked periarticular uptake and premature fusion of the epiphysis of the greater trochanter was a reliable indicator of chondrolysis. Furthermore, the bone scan could precede other imaging methods (radiography and MRI) in the diagnosis of the progression of the pathologic process, status of the remodeling activity, and early involvement of an opposite joint. Given the high sensitivity of bone scans and the high specificity of radiographic and MRI examinations in the diagnosis of acute chondrolysis of the hip, all three methods are valuable and should be used as complementary diagnostic tools.

Original languageEnglish
Pages (from-to)1007-1009
Number of pages3
JournalClinical Nuclear Medicine
Volume25
Issue number12
DOIs
StatePublished - 12 Dec 2000

Keywords

  • Bone Scintigraphy
  • Diagnostic Imaging
  • Hip Joint
  • Idiopathic Chondrolysis
  • Magnetic Resonance Imaging

Fingerprint

Dive into the research topics of 'Bilateral idiopathic chondrolysis of the hip: A case report'. Together they form a unique fingerprint.

Cite this