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Bilateral idiopathic chondrolysis of the hip: a case report
- Source :
- Clinical nuclear medicine. 25(12)
- Publication Year :
- 2000
-
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.
- Subjects :
- musculoskeletal diseases
Cartilage, Articular
Diagnostic Imaging
Male
medicine.medical_specialty
Greater trochanter
Time Factors
Adolescent
Radiography
Scintigraphy
Sensitivity and Specificity
Femoral head
Arthropathy
medicine
Humans
Radiology, Nuclear Medicine and imaging
Hip
medicine.diagnostic_test
business.industry
Magnetic resonance imaging
General Medicine
medicine.disease
medicine.anatomical_structure
Bone scintigraphy
Epiphysis
Hip Joint
Radiology
business
Cartilage Diseases
Follow-Up Studies
Subjects
Details
- ISSN :
- 03639762
- Volume :
- 25
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Clinical nuclear medicine
- Accession number :
- edsair.doi.dedup.....b12e96dbec2d8fb9dd96f4b9d4790f80