The Challenges of Idiopathic Chondrolysis Of Hip (Rare Hip Disease) Why You Are Not Your Diagnosis скачать в хорошем качестве

The Challenges of Idiopathic Chondrolysis Of Hip (Rare Hip Disease) Why You Are Not Your Diagnosis

In this video, I will discuss The Challenges of Idiopathic Chondrolysis of the Hip (An extremely rare hip disease that causes all of the cartilage in the hip socket to deteriorate for an unknown reason) and Why You Are Not Your Diagnosis. Remember, Your Diagnosis Does Not Define You. Below is a little of a research paper my husband wrote that will share a little bit about what Idiopathic Chondrolysis is. In 1971 the first documented cases of chondrolysis of the hip was by a South African orthopaedic medical doctor B.S Jones, he researched 9 individual cases of children that were mostly of prepubescent age and who were suffering from articular cartilage necrosis of their hip. These children were having issues with mobilization due to pain, stiffness and reduced ROM primary in abduction, flexion and external rotation. The children were in the age range of nine through sixteen, one was male and the other eight were female, and all were non-caucasian. Dr. Jones described one case of a 15 year old girl in 1968 (case 7), who underwent arthroplasty of the right hip and the surgery improved her ROM moderately and became painless. During the late 1950’s and even through the 1970’s, little was known about this idiopathic disease of the hip, but fast forward six decades later, researches still do not know what exactly causes this rare disease and there still is not any curative treatment. Today, researchers know that the disease usually occurs in children who are between the ages of 9-15. This is within the same age range as B.S Jones discovered in 1971, but today, there are even cases of adults who are between 20-37 who come down with the disease. In order for idiopathic chondrolysis of the hip to be properly diagnosed, physicians must rule out a condition called Perthes syndrome (bone blood supply issues), villonodular synovitis (swelling), reflex sympathetic dystrophy, septic arthritis, hip trauma, juvenile rheumatoid arthritis, or that the actual head of the femur located at the epiphyseal plate did not slip off the upper femur bone. It helps significantly when doctors use contrast enhanced magnetic resonance imaging to detect idiopathic chondrolysis of the hip, in comparison from juvenile rheumatoid arthritis, or juvenile idiopathic arthritis. As discussed by Sureka et al, tuberculous arthritis of hip can also mock idiopathic chondrolysis of the hip, which can result in misdiagnoses of the condition. All too frequently it becomes incorrectly diagnosed as being inflammatory arthritis or a chronic infection, which it is neither. In a case report by orthopedic doctors François and Mulier, they suggest that bone scintigraphy and MRI scans be used to look for primary or secondary protrusio acetabula, which describes a defect in the hip socket, although just because protrusio acetabula is discovered in a patient, it could also be due to numerous of other conditions. In comparing two studies by Sureka and Habibi, they and their teams described their subjects (11 and 15) to be suffering from severe cases of atrophy in the gluteal muscles on the ipsilateral side of the infected hip and to display pelvic tilt, although in the case of Habibi et al. both hips were diseased and they also described the condition as the secondary cause of osteoarthritis. #IdiopathicChondrolysis #Osteoarthritis #HipReplacement