Hip Osteoarthritis

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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]

Radiology

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.[2]

References

  1. โ†‘ 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):117โ€“123. DOI
  2. โ†‘ 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