Hip Osteoarthritis: Difference between revisions

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The prevalence of radiographic hip osteoarthritis is 18.2% in men and 14.3%<ref>Iidaka T, Muraki S, Akune T, et al. Prevalence of radiographic hip osteoarthritis and its association with hip pain in Japanese men and women: the ROAD study. Osteoarthritis Cartilage. 2016;24(1):117–123. [https://doi.org/10.1016/j.joca.2015.07.017 DOI]</ref>
The prevalence of radiographic hip osteoarthritis is 18.2% in men and 14.3%<ref>Iidaka T, Muraki S, Akune T, et al. Prevalence of radiographic hip osteoarthritis and its association with hip pain in Japanese men and women: the ROAD study. Osteoarthritis Cartilage. 2016;24(1):117–123. [https://doi.org/10.1016/j.joca.2015.07.017 DOI]</ref>


==Radiology==
==Clinical Features==
There is no association between pain levels and radiographic severity, however patients with higher pain levels showed differences in sensitisation as measured by quantitative sensory testing.<ref name="hattori">Hattori T, Shimo K, Niwa Y, Tokiwa Y, Matsubara T. Association of Chronic Pain with Radiologic Severity and Central Sensitization in Hip Osteoarthritis Patients. J Pain Res. 2021;14:1153-1160 [https://doi.org/10.2147/JPR.S296273 DOI]</ref>
There is no clear association between pain levels and radiographic severity of hip osteoarthritis. Up to 40% of patients with hip osteoarthritis have no pain. Patients with higher pain levels showed differences in sensitisation as measured by quantitative sensory testing.<ref name="hattori">Hattori T, Shimo K, Niwa Y, Tokiwa Y, Matsubara T. Association of Chronic Pain with Radiologic Severity and Central Sensitization in Hip Osteoarthritis Patients. J Pain Res. 2021;14:1153-1160 [https://doi.org/10.2147/JPR.S296273 DOI]</ref>


==References==
==References==

Revision as of 09:18, 23 April 2021

This article is a stub.
Hip osteoarthritis
  • Dieppe PA good author to read
  • Higher bone density can drive knee osteoarthritis but not hip osteoarthritis
  • A minority have clear cut clinical and radiological recovery, especially with marked osteophytosis and concentric disease
  • Superolateral migration of the femoral head is correlated with more rapid osteoarthritis progression, also with atrophic bone response

Epidemiology

The prevalence of radiographic hip osteoarthritis is 18.2% in men and 14.3%[1]

Clinical Features

There is no clear association between pain levels and radiographic severity of hip osteoarthritis. Up to 40% of patients with hip osteoarthritis have no pain. Patients with higher pain levels showed differences in sensitisation as measured by quantitative sensory testing.[2]

References

  1. Iidaka T, Muraki S, Akune T, et al. Prevalence of radiographic hip osteoarthritis and its association with hip pain in Japanese men and women: the ROAD study. Osteoarthritis Cartilage. 2016;24(1):117–123. DOI
  2. Hattori T, Shimo K, Niwa Y, Tokiwa Y, Matsubara T. Association of Chronic Pain with Radiologic Severity and Central Sensitization in Hip Osteoarthritis Patients. J Pain Res. 2021;14:1153-1160 DOI

Literature Review