Idiopathic chondrolysis of hip: A case report with literature review

Abstract

Idiopathic chondrolysis of the hip (ICH) is a rare debilitating disease that results in articular cartilage loss in proximal femoral epiphysis and acetabulum; in the absence of a history of trauma, slipped capital femoral epiphysis, Perthe’s disease, prolonged immobilization, and infective/inflammatory joint diseases or malignancies. The diagnosis of chondrolysis of the hip is usually delayed due to the gradual onset of symptoms, initial normal radiographs, and the absence of specific diagnostic laboratory tests. Magnetic resonance imaging is the gold standard for the early diagnosis and grading of disease. ICH is often reversible with non-surgical management such as rest, alleviation of pain, and avoidance of weight-bearing. The clinical details and imaging appearance of this uncommon disease are discussed here.