Relationship Between Hip Morphology and Hip-Related Patient-Reported Outcomes in Young and Middle-Aged Individuals: A Population-Based Study.

Published on Jul 19, 2019in Arthritis Care and Research4.794
· DOI :10.1002/ACR.23774
Jacek A. Kopec61
Estimated H-index: 61
(UBC: University of British Columbia),
Hong Qian6
Estimated H-index: 6
(St. Paul's Hospital)
+ 9 AuthorsImpakt-Hip Study Team1
Estimated H-index: 1
Sources
Abstract
OBJECTIVE: Radiographic measurements of the alpha angle and the lateral center edge (LCE) angle in the hip joint are important for the diagnosis of femoroacetabular syndrome, a potential risk factor for hip osteoarthritis. Our objective was to determine whether these measurements are associated with hip-related patient-reported outcomes in young and middle-aged individuals. METHODS: A stratified random sample of white men and women ages 20-49 years, with and without hip pain, was selected using random digit dialing from the population of metro Vancouver, Canada. The alpha and LCE angles were measured bilaterally on radiographs using Dunn and anteroposterior views, respectively. Patient-reported outcomes were measured by the Copenhagen Hip And Groin Outcome Score (HAGOS), which has scales for symptoms, pain, daily activities, sports, physical activity, and quality of life (QoL). We performed descriptive analyses and a regression analysis with restricted cubic splines, adjusted for age and sex and weighted for the sampling design. RESULTS: Data were obtained for 500 subjects. The alpha angle distribution was strongly skewed, with a mean of 54°. The LCE angle distribution was symmetric, with a mean of 34°. In the restricted cubic splines analysis, the relationship between the alpha angle and HAGOS scores was nonlinear, with higher alpha angles generally associated with worse HAGOS scores for alpha >60°. The associations were statistically significant for symptoms, sports, and QoL. No association was found between the LCE angle and HAGOS scales. CONCLUSION: In a general population sample ages 20-49 years, we have found an association between the alpha angle and hip-related patient-reported outcomes.
📖 Papers frequently viewed together
References28
Newest
#1Scott Peters (Duke University)H-Index: 7
#2Alisha Laing (Duke University)H-Index: 1
Last. Michael P. Reiman (Duke University)H-Index: 28
view all 8 authors...
Background The purpose of this review was to analyse and report criteria used for open and arthroscopic surgical treatment of femoroacetabular impingement syndrome (FAIS). Methods A librarian-assisted computer search of Medline, CINAHL and Embase for studies related to criterion for FAIS surgery was used in this study. Inclusion criteria included studies with the primary purpose of surgery or surgical outcomes for treatment of FAIS with and without labral tear, and reporting criteria for FAIS su...
Source
#1Jacek A. Kopec (UBC: University of British Columbia)H-Index: 61
#2Jolanda Cibere (UBC: University of British Columbia)H-Index: 27
Last. John M. Esdaile (UBC: University of British Columbia)H-Index: 65
view all 15 authors...
Summary Objectives The purpose of the study was to determine if physical activity (PA) is a risk factor for persistent or recurrent hip pain in young and middle-aged persons with and without radiographic findings of cam or pincer morphology (CPM). Methods A population sample of persons aged 20–49 with (cases) and without (controls) hip pain in Metro Vancouver, Canada, was selected through random digit dialing (RDD). Self-reported PA was expressed as average energy expenditure (MET-hours) per yea...
Source
#1Cody C. Wyles (Mayo Clinic)H-Index: 21
#2Mark J. Heidenreich (Mayo Clinic)H-Index: 9
Last. Rafael J. Sierra (Mayo Clinic)H-Index: 59
view all 6 authors...
Background Structural hip deformities including developmental dysplasia of the hip (DDH) and femoroacetabular impingement (FAI) are thought to predispose patients to degenerative joint changes. However, the natural history of these malformations is not clearly delineated.
Source
#1Seyed Ali Hashemi (Shiraz University of Medical Sciences)H-Index: 7
#2Javad Dehghani (Shiraz University of Medical Sciences)H-Index: 3
Last. Amir Reza Vosoughi (Shiraz University of Medical Sciences)H-Index: 11
view all 3 authors...
Objective Diagnosis of acetabular retroversion based on crossover sign in the anteroposterior radiograph of the hip joint is well described. Accuracy of the crossover sign to identify global retroversion of the acetabulum in comparison to version of the acetabulum in reconstructed three-dimensional computed tomography (3D CT) scan of the hip was the aim of this study.
Source
The 2016 Warwick Agreement on femoroacetabular impingement (FAI) syndrome was convened to build an international, multidisciplinary consensus on the diagnosis and management of patients with FAI syndrome. 22 panel members and 1 patient from 9 countries and 5 different specialties participated in a 1-day consensus meeting on 29 June 2016. Prior to the meeting, 6 questions were agreed on, and recent relevant systematic reviews and seminal literature were circulated. Panel members gave presentation...
Source
#1Edward J. Dickenson (Warw.: University of Warwick)H-Index: 9
#2Peter Wall (Coventry Health Care)H-Index: 24
Last. Damian R. Griffin (Warw.: University of Warwick)H-Index: 32
view all 7 authors...
Summary Objective Cam hip shape morphology is a recognised cause of femoroacetabular impingement (FAI) and is associated with hip osteoarthritis. Our aim was to systematically review the available epidemiological evidence assessing the prevalence of cam hip shape morphology in the general population and any studied subgroups including subjects with and without hip pain. Design All studies that reported the prevalence of cam morphology, measured by alpha angles, in subjects aged 18 and over, irre...
Source
#1C. Ratzlaff (Harvard University)H-Index: 16
#2Charlie Zhang (UBC: University of British Columbia)H-Index: 3
Last. Bruce B. Forster (UBC: University of British Columbia)H-Index: 24
view all 12 authors...
The purpose of this study was to evaluate the validity and reliability of a radiographic diagnosis of femoroacetabular impingement (FAI) by a non-radiologist. Symptomatic FAI is prevalent and thought to be a cause of hip osteoarthritis. However, the diagnosis is often delayed by 1–2 years, in large part because radiographic findings are often subtle and clinicians have been unaware of their significance. The purpose of this study was to evaluate the validity of a radiographic diagnosis of FAI by...
Source
#1Lucas A. Anderson (UofU: University of Utah)H-Index: 18
#2Mike B. Anderson (UofU: University of Utah)H-Index: 19
Last. Christopher L. Peters (UofU: University of Utah)H-Index: 59
view all 8 authors...
Background It is not known whether morphological abnormalities of the hip are compatible with lifelong hip function and avoidance of osteoarthritis (OA). Our purpose was to investigate the prevalence of radiographic findings consistent with femoroacetabular impingement (FAI) and dysplasia (DDH) in senior athletes with well-functioning hips.
Source
#1Jonathan M. Frank (Rush Medical College)H-Index: 13
#2Joshua D. Harris (Rush Medical College)H-Index: 58
Last. Shane J. Nho (Rush Medical College)H-Index: 66
view all 7 authors...
Purpose: The aim of this study was to determine the prevalence of radiographic findings suggestive of femoroacetabular impingement (FAI) in asymptomatic individuals. Methods: A systematic review was performed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies reporting radiographic, computed tomographic, or magnetic resonance imaging (MRI) findings that were suggestive of FAI in asymptomatic volunteers were included. Cam, pincer, and combined pa...
Source
#1Ashley L. Kapron (UofU: University of Utah)H-Index: 23
#2Christopher L. Peters (UofU: University of Utah)H-Index: 59
Last. Christopher E. Pelt (UofU: University of Utah)H-Index: 22
view all 7 authors...
Background:Structural deformities of the hip, including femoroacetabular impingement (FAI) and acetabular dysplasia, often limit athletic activity. Previous studies have reported an increased prevalence of radiographic cam FAI in male athletes, but data on the prevalence of structural hip deformities in female athletes are lacking.Purpose:(1) To quantify the prevalence of radiographic FAI deformities and acetabular dysplasia in female collegiate athletes from 3 sports: volleyball, soccer, and tr...
Source
Cited By2
Newest
#1Nicholas J. Murphy (Kolling Institute of Medical Research)H-Index: 3
#2Laura E. Diamond (Griffith University)H-Index: 14
Last. Young-Jo Kim (Boston Children's Hospital)H-Index: 66
view all 21 authors...
Background:Bony morphology is central to the pathomechanism of femoroacetabular impingement syndrome (FAIS), however isolated radiographic measures poorly predict symptom onset and severity. More c...
Source
#1Jacek A. KopecH-Index: 61
#2Qian HongH-Index: 1
Last. John M. EsdaileH-Index: 65
view all 11 authors...
Objective The purpose of the study was to determine the prevalence of femoroacetabular impingement syndrome (FAIS) in Caucasian adults 20 to 49 years of age. Methods Participants were Caucasian men and women aged 20-49, recruited through random digit dialing from the population of Metro Vancouver, Canada. Participants filled out a self-administered questionnaire and underwent a physical examination and x-rays of both hips. FAIS was defined as a combination of hip symptoms, physical signs of impi...
Source
This website uses cookies.
We use cookies to improve your online experience. By continuing to use our website we assume you agree to the placement of these cookies.
To learn more, you can find in our Privacy Policy.