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Hip pain related to definite and early-stage radiographic hip Osteoarthritis
![Hip pain related to definite and early-stage radiographic hip Osteoarthritis Hip pain related to definite and early-stage radiographic hip Osteoarthritis](https://medicaldialogues.in/h-upload/2022/07/04/750x450_179945-hip-osteoarthritis.webp)
A recent study found that there was a modest prevalence of early-stage hip radiographic osteoarthritis in patients complaining of hip pain. This can be used to diagnose patients with hip osteoarthritis who complain of hip or knee pain. The study was published in the British Journal of General Practice.
Hip osteoarthritis is a common cause of morbidity among geriatric patients associated with pain and stiffness. Clinical symptoms like pain and stiffness associated with radiographic features help in the diagnosis of hip osteoarthritis. But there is uncertainty in the association between hip pain and hip radiographic OA (ROA). Hence researchers from MC University Medical center, Rotterdam conducted a cross-sectional analysis of a Dutch cohort called the Cohort Hip and Cohort Knee (CHECK) study to examine the association between hip pain and hip ROA.
All the participants aged 45–65 years, who had experienced hip and/or knee pain without prior consultation or were within 6 months of their first consultation were included in the study. ROA was taken using weight-bearing anteroposterior pelvis radiographs. Definite and early-stage hip ROA was defined as Kellgren and Lawrence grade ≥2 and ≥1, respectively. The presence of ROA and pain was assessed in the hips of all participants. Generalized estimating equations were used to establish an association between hip pain and ROA.
Results:
- The prevalence of definite ROA was 11.0% (n = 218/1982 hips).
- Prevalence of early-stage hip ROA was 35.3% (n = 700/1982).
Condition | Painful hips | Pain-free hips |
Prevalence of definite ROA | 13.3% (n = 105/789) | 9.5% (n = 113/1193) |
Early-stage hip ROA | 41.2% (n = 325/789) | 31.4% (n = 375/1193) |
- Compared with pain-free hips, the odds ratio of painful hips was 1.51 for definite ROA and 1.47 for early-stage ROA.
Thus, this study showed that Hip pain was associated with definite and early-stage hip ROA. But the overall ROA prevalence was modest and the prevalence among pain-free hips was substantial.
Further reading: Rondas GA, Macri EM, Oei EH, Bierma-Zeinstra SM, Rijkels-Otters HB, Runhaar J. Association between hip pain and radiographic hip osteoarthritis in primary care: the CHECK cohort. Br J Gen Pract. 2022 Jul 26:BJGP.2021.0547. doi:10.3399/BJGP.2021.0547.
BDS, MDS
Dr.Niharika Harsha B (BDS,MDS) completed her BDS from Govt Dental College, Hyderabad and MDS from Dr.NTR University of health sciences(Now Kaloji Rao University). She has 4 years of private dental practice and worked for 2 years as Consultant Oral Radiologist at a Dental Imaging Centre in Hyderabad. She worked as Research Assistant and scientific writer in the development of Oral Anti cancer screening device with her seniors. She has a deep intriguing wish in writing highly engaging, captivating and informative medical content for a wider audience. She can be contacted at editorial@medicaldialogues.in.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: editorial@medicaldialogues.in. Contact no. 011-43720751