The John Charnley Award: Redefining the Natural History of Osteoarthritis in Patients With Hip Dysplasia and Impingement

Wyles, Cody C.; Heidenreich, Mark J.; Jeng, Jack; Larson, Dirk R.; Trousdale, Robert T.; Sierra, Rafael J.

doi:10.1007/s11999-016-4815-2

Cited by 208 publications

(177 citation statements)

References 21 publications

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“…To our knowledge, no study has shown a significant association between hip symptoms, function, or OA and isolated pincer morphology or a high LCE angle. On the other hand, a low LCE angle, indicative of hip dysplasia, may be associated with OA . It is possible that the LCE angle is not an optimal measure of pincer morphology; however, another common measure, the crossover sign, has been criticized for low specificity in assessing retroversion of the acetabulum and therefore was not used in the current analysis.…”

Section: Discussionmentioning

confidence: 99%

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

Kopeć

Qian

Cibere

et al. 2019

Arthritis Care & Research

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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.

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Section: Discussionmentioning

confidence: 99%

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

Kopeć

Qian

Cibere

et al. 2019

Arthritis Care & Research

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“…Despite previous studies on the natural history of FAI [1,4], we still are missing key information regarding the progression of OA in the impinging hip. Our recent paper [8] showed an increase in degeneration for dysplastic hips, but no difference in the natural history in the progression of OA between FAI and normal hips. All patients had a contralateral THA, which we considered a limitation in our study.…”

mentioning

confidence: 76%

CORR Insights®: What MRI Findings Predict Failure 10 Years After Surgery for Femoroacetabular Impingement?

Sierra

2017

Clinical Orthopaedics &Amp; Related Research

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“…FAI syndrome was diagnosed by clinical and radiographic evaluation [19]. Diagnosis of FAI syndrome was based on evidence of restricted range of motion and anterior impingement test in patients with radiographic evidence of alpha angle greater than 55 or lateral center edge angle greater than 38 [1,11,[20][21][22]. Patients that presented with hip pain and radiographic evidence of femoral head uncovering and a lateral center-edge angle less than 20 degrees were diagnosed with symptomatic AD [23][24][25][26][27][28].…”

Section: Participantsmentioning

confidence: 99%

“…Acetabular dysplasia (AD) is a condition in which the acetabulum is shallow and does not provide sufficient coverage of the femoral head [8]. There is an estimated prevalence of 0.1% in the adult population, and it is a known precursor to osteoarthritis, with evidence of acetabular dysplasia in 20-40% of patients with osteoarthritis of the hip [9][10][11]. Both hip pathologies are associated with hip pain, decreased quality of life, and morbidity in an oftenyoung active population [12,13].…”

Section: Introductionmentioning

confidence: 99%

Sleep quality and nocturnal pain in patients with femoroacetabular impingement and acetabular dysplasia

Reddy

Martinez

Mulligan

et al. 2020

BMC Musculoskelet Disord

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Background: Femoroacetabular impingement (FAI) syndrome and acetabular dysplasia (AD) are common pathologies that lead to pain in the young adult hip. Nocturnal pain in these patients is often reported, yet little is known regarding the effect of these hip pathologies on overall sleep quality. The purpose of this study was to evaluate sleep quality in patients with AD and FAI syndrome. Methods: This cross-sectional study consisted of 115 patients who complained of hip pain secondary to either FAI syndrome or AD. One hundred fifteen patients with hip pain secondary to FAI syndrome and AD were assessed using the Hip Outcome Score (HOS), Modified Harris Hip Score (mHHS), and then Hip disability and Osteoarthritis Outcome Score (HOOS). Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Multiple linear regression, with adaptive LASSO variable selection, was used to assess factors associated with sleep quality. Results: Of the 115 patients, 62 had a diagnosis of FAI syndrome and 53 with AD. The mean age was 34.55 ± 11.66 (age range: 14 to 58 years), 76.52% had an ASA classification of 1 (ASA range: 1 to 3), and all Tonnis grades were either 0 or 1. The mean PSQI global score for all patients was 8.46 ± 4.35 (PSQI range: 0 to 21), indicating poor sleep quality. The adaptive LASSO-penalized least squares multiple linear regression revealed that HOOS Pain, SF-12 Role Emotional, and SF-12 Mental Health significantly predicted Sleep Quality (Adjusted R2 = 0.4041). Sleep quality improved as pain, emotional problems, and mental health improved. Conclusion: Patients with symptomatic FAI syndrome and AD have poor sleep quality. Worsening pain from a patient's hip pathology is associated with poor sleep, even prior to the onset of osteoarthrosis of the hip. Patients presenting with hip pain from FAI syndrome and AD should be screened for sleep disturbance and may benefit from a multidisciplinary treatment approach.

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The John Charnley Award: Redefining the Natural History of Osteoarthritis in Patients With Hip Dysplasia and Impingement

Cited by 208 publications

References 21 publications

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

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

CORR Insights®: What MRI Findings Predict Failure 10 Years After Surgery for Femoroacetabular Impingement?

Sleep quality and nocturnal pain in patients with femoroacetabular impingement and acetabular dysplasia

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