Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Orthopedics
Volume 2013 (2013), Article ID 840681, 3 pages
http://dx.doi.org/10.1155/2013/840681
Case Report

Chondrolysis of the Hip following Septic Arthritis: A Rare Complication of Magnetic Resonance Arthrography

1Arthroscopy and Sports Injuries Unit, Hasharon Hospital, Rabin Medical Center, Petach-Tikva 49372, Israel
2Orthopedic Department, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 69978, Israel
3Department of Orthopedic Surgery, Beilinson Hospital, Rabin Medical Center, Petach-Tikva 49100, Israel

Received 8 January 2013; Accepted 28 January 2013

Academic Editors: M. Gotoh and M. G. Lykissas

Copyright © 2013 Barak Haviv et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Magnetic resonance arthrography (MRA) is commonly used to detect labral tears of the hip. Complications of MRA are unusual and include minor reactions such as chemical synovitis and urticaria. This paper presents a rapidly progressive chondrolysis of the hip in a young patient after arthrography. The patient had suffered from acute septic arthritis and was treated by emergent arthroscopic surgery followed by appropriate antibiotics. At 18 months of followup, there were no signs of active infection but evidence of joint chondrolysis. Magnetic resonance arthrography (MRA) of the hip is an invasive procedure and should therefore be recommended judiciously. Post-MRA pain is common but often mild and temporary, while post-MRA joint infection is rare; nevertheless, severe joint pain and limitation should raise suspicion for septic hip.