Rapidly destructive osteoarthritis of the hip

Rapidly destructive osteoarthritis of the hip is a rare chondrolysis of unknown aetiology which can progress to complete destruction of the femoral head. It is a diagnosis of exclusion.

It is most common in middle age to elderly females in almost all reported case series.

Hip pain is the most frequently encountered symptom. In most cases, hip pain has been present for six months to three years (mean 1.4 years) 2.

Radiographic findings on plain film are a continuum that varies from rapidly progressive chondrolysis (> 2 mm/year or > 50% joint space narrowing/year) 1 to complete osteolysis of the femoral head.

Described features include 1:

The typical treatment is total hip arthroplasty.

The differential diagnosis includes:

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Article information

rID: 34918
Tag: cases
Synonyms or Alternate Spellings:
  • Rapidly destructive hip osteoarthritis
  • Rapidly destructive coxarthrosis
  • Rapidly destructive osteoarthritis of the femoral head
  • Rapidly destructive articular disease of the hip

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