Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

The Correlation Between Hip Morphology and Hip Osteoarthritis: A Cross-Sectional Study

(2018) The Correlation Between Hip Morphology and Hip Osteoarthritis: A Cross-Sectional Study. Iranian Red Crescent Medical Journal. p. 7. ISSN 2074-1804

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Abstract

Background: Osteoarthritis (OA) is a highly prevalent chronic degenerative joint disease with different risk factors, which need to be investigated in order to perform more appropriate interventions in earlier phases of Osteoarthritis. Objectives: Therefore, the aim of this study was to determine the correlation between hip morphology and hip Osteoarthritis. Methods: This cross-sectional study was conducted on patients aged 15 to 60 years old with hip problems, diagnosed with hip Osteoarthritis, compared with healthy individuals as the controlgroup. Then radiographic parameters, such as alpha angle, acetabular angle of sharp (AA), lateral center-edge angle (LCEA), femoral neck-shaft angle (FNA), coxa profunda, acetabular protrusio, crossover sign, posterior wall sign, and the ischial sign were measured by pelvic (AP) X-ray, using PACS systems in both groups. Results: This study found that alpha angle and AA were significantly greater in OA patients as compared to healthy individuals (P < 0.001). Furthermore, LCEA was significantly greater in the Osteoarthritis group on the left side as compared to the control group (38.93 +/- 8.43 versus 36.81 +/- 4.74, P = 0.042) yet LCEA on the right side and total amount were not different between the two groups (P>0.05). By grouping studied angles, it was found that the frequency of alpha angle > 55 degrees, AA > 38 degrees, and LCEA > 40 degrees were significantly higher in the OA group as compared to the control group (P<0.05). Furthermore, the researchers observed that the frequency of acetabular protrusio (P = 0.013) and posterior wall sign were significantly higher in the OA group as compared to healthy individuals (P < 0.05). Conclusions: The current results showed that the higher Body Mass Index (BMI), greater alpha and acetabular angles, sharp, lateral center-edge angle center-edge angle, the higher rate of a posterior wall sign, and acetabular protrusio increased the risk of OA, which support that these structural changes are major contributors to OA development.

Item Type: Article
Keywords: Degenerative Disease Hip Joint Morphology Osteoarthritis Radiography nationwide prospective cohort femoroacetabular impingement acetabular retroversion computed-tomography prevalence angle risk pain association deformities General & Internal Medicine
Divisions:
Page Range: p. 7
Journal or Publication Title: Iranian Red Crescent Medical Journal
Journal Index: ISI
Volume: 20
Number: 6
Identification Number: https://doi.org/10.5812/ircmj.60500
ISSN: 2074-1804
Depositing User: مهندس مهدی شریفی
URI: http://eprints.bmsu.ac.ir/id/eprint/3760

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