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 aged to elderly females in almost all reported case series.

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

Plain film

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

MRI

Described features include 1

The typical treatment is total hip arthroplasty.

The differential diagnosis includes:

Arthritides
Share article

Article information

rID: 34918
Section: Pathology
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

Support Radiopaedia and see fewer ads

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.