Systematic Review of the Prevalence of Radiographic Primary Hip Osteoarthritis

Abstract

Hip osteoarthritis is a common cause of musculoskeletal pain in older adults and may result in decreased mobility and quality of life. Although the presentation of hip osteoarthritis varies, surgical management is required when the disease is severe, longstanding, and unresponsive to nonoperative treatments. For stakeholders to plan for the expected increased demand for surgical procedures related to hip osteoarthritis, including arthroplasty, it is important to first understand its prevalence. We conducted a systematic review by searching MEDLINE1 and EMBASE to identify recent English language articles reporting on the prevalence of radiographic primary hip osteoarthritis in the general adult population; references including studies and primary studies from previous systematic reviews were also searched. This strategy yielded 23 studies reporting 39 estimates of overall prevalence ranging from 0.9% to 27% with a mean of 8.0% and a standard deviation of 7.0%. Heterogeneity was noted in study populations, eligibility criteria, age and gender distribution, type of radiographs, and method of diagnosis. Although the association between radiographic hip osteoarthritis and the need for eventual surgical management is still unclear, this study supports assertions that hip osteoarthritis is a prevalent condition whose treatment will continue to place important demands on health services.

Prevalence of Radiographic Parameters Predisposing to Femoroacetabular Impingement in Young Asymptomatic Chinese and White Subjects

“…This contradiction might be due to a low reliability of the crossover sign in the diagnosis of acetabular retroversion, as debated in recent studies 40,41 . The prevalence of radiographic evidence of hip osteoarthritis is ‡5% in white people compared with barely 1% in Chinese people (sixty to seventy-four years of age) 11,42 . Symptomatic hip osteoarthritis in the Chinese population is as low as Percentages of hips in Chinese subjects compared with those in white subjects as a function of the number of femoroacetabular impingement (FAI) at-risk signs.…”

In Situ Pinning With Arthroscopic Osteoplasty for Mild SCFE: A Preliminary Technical Report

“…First, the scoring system [16] used inadequately reflects moderate functional and motion losses that are important to this active population. Second, the 15% reported rate [3] of moderate or advanced arthrosis in subjects averaging 45 years is high when compared to a prevalence of 1.7% in those aged 45 to 49 [9]. Additionally, intermediate followup studies suggest patients have pain and functional limitation after mild SCFE [10,12,19].…”

Fracture risk before and after total hip replacement in patients with osteoarthritis: Potential benefits of bisphosphonate use

“…The prevalence of clinically diagnosed hip OA is ϳ7.4% in individuals Ͼ60 years old (2), and the prevalence of radiographic hip OA ranges from 0.9% to 27% (3). Moreover, hip OA accounts for 93% of the 64,722 primary total hip replacements (THRs) performed in the UK in 2008 (4), and available evidence supports the notion that the rate of replacement is increasing in the UK (5).…”