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Capsular constriction of the hip: Arthrographic and clinical considerations

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Abstract

Orthodox radiological examination of patients presenting with disorders of the hip, usually on account of pain and limitation of movement, may vary in diagnostic value. As a supplementary study we have employed arthrography. During this procedure we have, since 1970, routinely assessed the capacity of the joint capsule. The normal capacity varies from 20 ml in a large adult male to 14 ml in a small adult female. Significant reduction of this volume has been observed as a secondary complication of certain organic lesions, including four cases of synovial chondromatosis, one case of an intra-articular loose body, and one case of osteoid osteoma of femoral neck. In these secondary cases, the only common feature visible on the plain film was regional osteopenia. In these patients symptoms persisted until adequate surgical measures had been performed. (Descriptive term proposed: secondary capsular constriction of the hip: SCCH). In another group of seven patients, in whom orthodox radiological studies were unrewarding, arthrography was undertaken on account of persistent pain and limitation of movement. Similar reduction in the capacity of the joint was found, but in each case spontaneous resolution of the symptoms took place, without surgical intervention, in periods varying from three to 18 months. This self-limiting syndrome appears to be analogous to that of the “frozen shoulder” and, like the latter, is associated frequently with barbiturism. (Descriptive term proposed: idiopathic capsular constriction of the hip: ICCH).

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References

  1. Caroit, M., Dijan, A., Hubault, A., Normandin, C., de Sèze, S.: Deux cas de capsulite rétractile de la hanche. Rev. Rhum. Mal. Osteoartic. 30, 784 (1963)

    Google Scholar 

  2. Cayla, J., Chaouat, Y., Labrousse, C., Coste, E.: La forme décalcifiante de la chondromatose synoviale de la hanche. A propos de 3 observations. Rev. Rhum. Mal. Osteoartic. 32, 646 (1965)

    Google Scholar 

  3. Jeffreys, T.E.: Synovial chondromatosis. J. Bone Joint Surg [Br.] 49, 530 (1967)

    Google Scholar 

  4. Lequesne, M., Dang, N., Bensasson, M., Mery, C.: Increased association of diabetes mellitus with capsulitis of the shoulder and shoulder-hand syndrome. Scand. J. Rheumatol. 6, 53 (1977)

    Google Scholar 

  5. Milgram, J.W.: Synovial osteochondromatosis. A histopathological study of thirty cases. J. Bone Joint Surg. [Am.] 59, 792 (1974)

    Google Scholar 

  6. Murphy, W.A., Siegel, M.J., Gilula, L.A.: Arthrography in the diagnosis of unexplained chronic hip pain with regional osteopenia. Am. J. Roentgenol. 129, 283 (1977)

    Google Scholar 

  7. Prager, R.J., Mall, J.C.: Arthrographic diagnosis of synovial chondromatosis. Am. J. Roentgenol. 127, 344 (1976)

    Google Scholar 

  8. Razzano, C.D., Nelson, C.L., Wilde, A.H.: Arthrography of the adult hip. Clin. Orthop. 99, 86 (1974)

    Google Scholar 

  9. Sèze, S. de, Ryckewaert, A., Welfling, J., Renler, J.C., Hubault, A., Caroit, M., Poinsard, G.: Etudes sur l'épaule douloureuse (périarthrite scapulo-humérale). Les lésions anatomiques de l'épaule bloquee. Rev. Rhum. Mal. Osteoartic. 27, 323 (1963)

    Google Scholar 

  10. Snarr, J.W., Abell, M.R., Martel, W.: Lymphofollicular synovitis with osteoid osteoma. Radiology 106, 323 (1963)

    Google Scholar 

  11. Van Der Korst, J.K., Colenbrander, H., Cats, A.: Phenobarbital and the shoulder-hand syndrome. Ann. Rheum. Dis. 25, 553 (1966)

    Google Scholar 

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Lequesne, M., Becker, J., Bard, M. et al. Capsular constriction of the hip: Arthrographic and clinical considerations. Skeletal Radiol. 6, 1–10 (1980). https://doi.org/10.1007/BF00347339

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