Idiopathic hip chondrolysis (ICH) is a rare pediatric musculoskeletal disorder characterized by rapid and extensive loss of articular cartilage at the femoral head and acetabulum. Symptoms of ICH, such as pain, stiffness, and limping, are often nonspecific and may overlap with other pathologies. Diagnosis of ICH is multifactorial and relies on the correlation of imaging with the clinical presentation. Due to both the rarity of this entity and nonspecific clinical symptoms, ICH may be underdiagnosed. In this educational poster, we will review the clinical presentation, describe the imaging findings of ICH with a special emphasis on MRI features using examples from our own institution, and discuss the treatment options as well as the natural progression of disease. Recognition of the imaging features is vital in early identification of ICH which may help prevent further irreversible cartilage loss.
SPR 2023 Annual Meeting & Postgraduate Course