title: Spectrum of intra-articular findings of the acute and subacute painful hip with multiple epiphyseal dysplasia/spondyloepiphyseal dysplasia.
abstract: Seven patients (10 hips), five with multiple epiphyseal dysplasia and two with spondyloepiphyseal dysplasia, were studied as to the etiology of a significant change in their baseline symptoms. Patients presented with decreased activity due to increased pain and mechanical symptoms and had a positive impingement test on physical examination. Three patients had a sudden increase in pain during normal walking and had subsequent difficulty with weight bearing. Arthrotomy or arthroscopy was used to identify the intra-articular pathology. Findings included loose bodies, chondromalacia, and labral pathology. Chondral avulsion fractures were found in the three patients who had a sudden increase in symptoms. Significant intra-articular pathology can develop in patients with multiple epiphyseal dysplasia or spondyloepiphyseal dysplasia.
authors.affiliation: Shriners Hospitals for Children, Portland, Oregon 97239-3009, USA. droy@shrinenet.org
authors.forename: Dennis R
authors.initials: DR
authors.lastname: Roy
mesh_terms: D000293:Adolescent; D002358:Cartilage, Articular / Q000293:injuries; D002648:Child; D002675:Child, Preschool; D005260:Female; D006132:Growth Plate / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D006621:Hip Joint / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007592:Joint Diseases / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D007594:Joint Loose Bodies / Q000473:pathology; D008297:Male; D010009:Osteochondrodysplasias / Q000151:congenital* / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D010146:Pain / Q000503:physiopathology; D012189:Retrospective Studies; D016138:Walking / Q000502:physiology; D055815:Young Adult