Dechosilpa C, Mulpruek P, Woratanarat P, Thiabratana P
Department of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Department of Orthopaedic Surgery, Bhumibol Adulyadej Hospital, Bangkok, Thailand.
Malays Orthop J. 2014 Nov;8(3):30-2. doi: 10.5704/MOJ.1411.007.
Idiopathic Chondrolysis of the Hip (ICH) is a rare condition, occurring mostly in black female adolescence. It is characterized by the rapidly progressive destruction of articular cartilage in the hip joint resulting in premature degeneration and subsequent joint arthrosis. We report three cases of ICH: a 13-year old boy presented with left knee pain, an 11-year old girl with right hip pain and a 12-year old girl with right thigh pain. All of them had the same characteristic radiographic findings. The initial treatment was started conservatively. Surgical treatment was performed in one patient in order to confirm diagnosis and correct deformity.
髋关节特发性软骨溶解症（ICH）是一种罕见病症，多见于黑人女性青少年。其特征是髋关节的关节软骨迅速进行性破坏，导致过早退变及随后的关节病。我们报告3例ICH：1例13岁男孩表现为左膝疼痛，1例11岁女孩表现为右髋疼痛，1例12岁女孩表现为右大腿疼痛。所有患者均有相同的特征性影像学表现。初始治疗为保守治疗。为明确诊断及矫正畸形，对1例患者实施了手术治疗。
