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DOI:10.2214/AJR.08.1590
AJR 2009; 192:526-531
© American Roentgen Ray Society


Clinical Observations

Idiopathic Chondrolysis of the Hip in Children: Early MRI Findings

Tal Laor1 and Alvin H. Crawford2

1 Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039.
2 Division of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

OBJECTIVE. The objective of our study was to identify the early MRI findings characteristic of idiopathic chondrolysis of the hip in children.

CONCLUSION. A geometric region of abnormal signal intensity centered in the proximal femoral epiphysis, accompanied by ipsilateral ill-defined acetabular bone marrow edema, mild synovial hypertrophy, and minimal if any joint fluid, in a child with a painful stiff hip are early MRI findings characteristic of idiopathic chondrolysis.

Keywords: chondrolysis • hip • MRI • pediatric imaging


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