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26-08-2023 | Osteoarthrosis | Scientific Article

Anterior and posterior hip osteoarthritis: prevalence and potential value of CT compared to radiographs

Authors: Ronald W. Mercer, Cynthia Assimta Peter, Ukasha Habib, Juliana Xie, Adam Graeber, F. Joseph Simeone, Connie Y. Chang

Published in: Skeletal Radiology | Issue 3/2024

Abstract

Purpose

To determine the added value of computed tomography (CT) to identify severe hip osteoarthritis (OA).

Materials and methods

A retrospective query of all cases of hip or knee arthroplasty planning CTs between January 2018 and March 2022 was performed. Age, sex, and symptoms were collected from the medical record. CTs were evaluated for the degree of osteoarthritis and classified using an adapted Kellgren-Lawrence (KL) grading system in the anterior, posterior, superior, and superomedial hip. Frontal hip or pelvis radiographs within 1 year of the CT were also graded.

Results

There were 265 eligible hips in 178 subjects, age 66 ± 11 (range 31–93) years, with 85/178 (48%) males and 93/178 (52%) females, and 127/265 (48%) right and 138/265 (52%) left hips. The posterior hip joint was the most common location for grade 2/3 OA (20%), followed by superior hip joint (14%). Anterior or posterior grade 2/3 OA occurred concurrently with superior or superomedial grade 2/3 OA in 32/68 (47%) of hips. Grade 2/3 OA was detected on CT more commonly than on XR both in the superior (14 vs 8.6%, P = 0.0016) and superomedial (8.7 vs 4.8%, P = 0.016) hip joint.

Of the 71 symptomatic hips, 22 (31%) hips demonstrated either anterior and/or posterior grade 2/3 OA on CT, and 9 (9/22, 41%) of these hips had superior or superomedial grade 0/1 OA.

Conclusion

CT may be warranted when the patient has pain suggestive of osteoarthritis not detected on radiographs.

Allen KD, Thoma LM, Golightly YM. Epidemiology of osteoarthritis. Osteoarthr Cartil. 2022;30(2):184–95. https://doi.org/10.1016/j.joca.2021.04.020.CrossRef

Üreten K, Arslan T, Gültekin KE, Demir AND, Özer HF, Bilgili Y. Detection of hip osteoarthritis by using plain pelvic radiographs with deep learning methods. Skelet Radiol. 2020;49(9):1369–74. https://doi.org/10.1007/s00256-020-03433-9.CrossRef

Barbara N, Weissman DNM. ACR Appropriateness Criteria® chronic hip pain. J Am Coll Radiol. 14(5):S90–S102. https://doi.org/10.1016/j.jacr.2017.01.035.

von Schacky CE, Sohn JH, Liu F, et al. Development and validation of a multitask deep learning model for severity grading of hip osteoarthritis features on radiographs. Radiology. 2020;295(1):136–45. https://doi.org/10.1148/radiol.2020190925.CrossRef

Lewińska A, Palczewski P, Rongies W, Szczęsny G, Tomaszewski W. Advances in imaging of hip osteoarthritis. Ortop Traumatol Rehabil. 2019;21(1):1–14. https://doi.org/10.5604/01.3001.0013.0384.CrossRefPubMed

Schafer P, Mehaidli A, Zekaj M, et al. Assessing knee anatomy using Makoplasty software a case series of 99 knees. J Orthop. 2020;20:347–51. https://doi.org/10.1016/j.jor.2020.05.023.CrossRefPubMedPubMedCentral

Mortensen AJ, Philippi MT, Karns MR, et al. A narrow posterior joint space on a false profile radiograph does not correlate with posterior joint cartilage degeneration in hip preservation patients. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2020;36(12):2984–91. https://doi.org/10.1016/j.arthro.2020.07.023.CrossRef

Kohn MD, Sassoon AA, Fernando ND. Classifications in brief: Kellgren-Lawrence classification of osteoarthritis. Clin Orthop Relat Res. 2016;474(8):1886–93. https://doi.org/10.1007/s11999-016-4732-4.CrossRefPubMedPubMedCentral

Bijlsma JWJ, Knahr K. Strategies for the prevention and management of osteoarthritis of the hip and knee. Best Pract Res Clin Rheumatol. 2007;21(1):59–76. https://doi.org/10.1016/j.berh.2006.08.013.CrossRefPubMed

10.

Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16(4):494–502. https://doi.org/10.1136/ard.16.4.494.CrossRefPubMedPubMedCentral

11.

Croft P, Cooper C, Wickham C, Coggon D. Defining osteoarthritis of the hip for epidemiologic studies. Am J Epidemiol. 1990;132(3):514–22. https://doi.org/10.1093/oxfordjournals.aje.a115687.CrossRefPubMed

12.

Katz JN, Arant KR, Loeser RF. Diagnosis and treatment of hip and knee osteoarthritis: a review. JAMA. 2021;325(6):568–78. https://doi.org/10.1001/jama.2020.22171.CrossRefPubMedCentral

13.

Farr J, Covell DJ, Lattermann C. Cartilage lesions in patellofemoral dislocations: incidents/locations/when to treat. Sports Med Arthrosc Rev. 2012;20(3):181–6. https://doi.org/10.1097/JSA.0b013e318259bc40.CrossRefPubMedPubMedCentral

14.

Jeong HK, An S, Herrin K, Scherpereel K, Young A, Inan OT. Quantifying asymmetry between medial and lateral compartment knee loading forces using acoustic emissions. IEEE Trans Biomed Eng. 2022;69(4):1541–51. https://doi.org/10.1109/TBME.2021.3124487.CrossRefPubMed

15.

Everhart JS, Abouljoud MM, Poland SG, Flanigan DC. Medial compartment defects progress at a more rapid rate than lateral cartilage defects in older adults with minimal to moderate knee osteoarthritis (OA): data from the OA initiative. Knee Surg Sports Traumatol Arthrosc. 2019;27(8):2401–9. https://doi.org/10.1007/s00167-018-5202-1.CrossRefPubMed

16.

Steppacher SD, Meier MK, Albers CE, Tannast M, Siebenrock KA. Acetabular cartilage thickness differs among cam, pincer, or mixed-type femoroacetabular impingement: a descriptive study using in vivo ultrasonic measurements during surgical hip dislocation. Cartilage. 2021;13(2_suppl):465S–75S. https://doi.org/10.1177/1947603521990879.CrossRefPubMedPubMedCentral

17.

Hasegawa K, Okamoto M, Hatsushikano S, et al. Standing sagittal alignment of the whole axial skeleton with reference to the gravity line in humans. J Anat. 2017;230(5):619–30. https://doi.org/10.1111/joa.12586.CrossRefPubMedPubMedCentral

18.

Hara D, Nakashima Y, Hamai S, et al. Dynamic hip kinematics in patients with hip osteoarthritis during weight-bearing activities. Clin Biomech (Bristol, Avon). 2016;32:150–6. https://doi.org/10.1016/j.clinbiomech.2015.11.019.CrossRefPubMed

19.

Meyer CAG, Wesseling M, Corten K, et al. Hip movement pathomechanics of patients with hip osteoarthritis aim at reducing hip joint loading on the osteoarthritic side. Gait Posture. 2018;59:11–7. https://doi.org/10.1016/j.gaitpost.2017.09.020.CrossRefPubMed

20.

Kubota M, Shimada S, Kobayashi S, et al. Quantitative gait analysis of patients with bilateral hip osteoarthritis excluding the influence of walking speed. J Orthop Sci. 2007;12(5):451–7. https://doi.org/10.1007/s00776-007-1160-z.CrossRefPubMed

21.

Eitzen I, Fernandes L, Nordsletten L, Risberg MA. Sagittal plane gait characteristics in hip osteoarthritis patients with mild to moderate symptoms compared to healthy controls: a cross-sectional study. BMC Musculoskelet Disord. 2012;13:258. https://doi.org/10.1186/1471-2474-13-258.CrossRefPubMedPubMedCentral

22.

Kerrigan DC, Lee LW, Collins JJ, Riley PO, Lipsitz LA. Reduced hip extension during walking: healthy elderly and fallers versus young adults. Arch Phys Med Rehabil. 2001;82(1):26–30. https://doi.org/10.1053/apmr.2001.18584.CrossRefPubMed

23.

Lee LW, Zavarei K, Evans J, Lelas JJ, Riley PO, Kerrigan DC. Reduced hip extension in the elderly: dynamic or postural? Arch Phys Med Rehabil. 2005;86(9):1851–4. https://doi.org/10.1016/j.apmr.2005.03.008.CrossRefPubMed

24.

Winter DA, Patla AE, Frank JS, Walt SE. Biomechanical walking pattern changes in the fit and healthy elderly. Phys Ther. 1990;70(6):340–7. https://doi.org/10.1093/ptj/70.6.340.CrossRefPubMed

25.

Cibulka M. Hip pain and mobility deficits—hip osteoarthritis. J Orthop Sport Phys Therapy. 2009;

26.

Cibulka MT, Threlkeld J. The early clinical diagnosis of osteoarthritis of the hip. J Orthop Sports Phys Ther. 2004;34(8):461–7. https://doi.org/10.2519/jospt.2004.34.8.461.CrossRefPubMed

27.

Gebre RK, Hirvasniemi J, van der Heijden RA, et al. Detecting hip osteoarthritis on clinical CT: a deep learning application based on 2-D summation images derived from CT. Osteoporos Int. 2022;33(2):355–65. https://doi.org/10.1007/s00198-021-06130-y.CrossRefPubMed

Title: Anterior and posterior hip osteoarthritis: prevalence and potential value of CT compared to radiographs
Authors: Ronald W. Mercer
Cynthia Assimta Peter
Ukasha Habib
Juliana Xie
Adam Graeber
F. Joseph Simeone
Connie Y. Chang
Publication date: 26-08-2023
Publisher: Springer Berlin Heidelberg
Keywords: Osteoarthrosis
Osteoarthrosis
Computed Tomography
Computed Tomography
Osteoarthritis of the Hip
Osteoarthritis of the Hip
Published in: Skeletal Radiology / Issue 3/2024
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-023-04434-0

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Anterior and posterior hip osteoarthritis: prevalence and potential value of CT compared to radiographs

Abstract

Purpose

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

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