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01-03-2011 | Original article

Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia

Authors: Seiya Jingushi, Satoko Ohfuji, Muroto Sofue, Yoshio Hirota, Moritoshi Itoman, Tadami Matsumoto, Yoshiki Hamada, Hiroyuki Shindo, Yoshio Takatori, Harumoto Yamada, Yuji Yasunaga, Hiroshi Ito, Satoshi Mori, Ichiro Owan, Genji Fujii, Hirotsugu Ohashi, Yukihide Iwamoto, Keita Miyanishi, Toshiro Iga, Naonobu Takahira, Tanzo Sugimori, Hajime Sugiyama, Kunihiko Okano, Tatsuro Karita, Kenichi Ando, Takanari Hamaki, Teruhisa Hirayama, Ken Iwata, Satoshi Nakasone, Masanori Matsuura, Taro Mawatari

Published in: Journal of Orthopaedic Science | Issue 2/2011

Abstract

Background

We conducted a nationwide epidemiologic study regarding hip osteoarthritis (OA) in Japan, and a previous report found these patients to be unique in comparison to Caucasians. This report focused on the data regarding each hip joint, and the involvement of acetabular dysplasia with hip OA was analyzed.

Methods

Seven hundred twenty OA hips were examined. Sixty-five joints with osteonecrosis of the femoral head and 215 non-OA contralateral joints of the unilateral patients were examined as controls. The revised system of stage classification for hip OA of the Japanese Orthopedic Association (JOA) was used according to the reproducibility in order to ensure reliable data from the multiple institutions. The acetabular dysplasia indexes were also chosen according to the reproducibility and measured in the radiograph of bilateral hip joints. The clinical score was assessed using the JOA scoring system. The relative risk of the grade of acetabular dysplasia indexes for hip OA was calculated as the odds ratio and the 95% confidence interval.

Results

The stage of the OA joints deteriorated with increasing age. The clinical scores also decreased. The grade of the acetabular dysplasia indexes of the OA joints was significantly higher than that of the control joints. Each index of acetabular dysplasia demonstrated significantly increased odds ratios for hip OA. Among the OA joints, the deterioration of the OA stage was found to be significantly associated with an increasing grade of acetabular dysplasia. The odds ratio for OA deterioration in the acetabular dysplasia index was also obtained. The joints of females tended to have a higher grade and prevalence of acetabular dysplasia than those of males.

Conclusions

These findings confirmed a high prevalence of acetabular dysplasia in hip OA joints in Japan. Acetabular dysplasia was one of the most important factors associated with hip OA.

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Title: Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia
Authors: Seiya Jingushi
Satoko Ohfuji
Muroto Sofue
Yoshio Hirota
Moritoshi Itoman
Tadami Matsumoto
Yoshiki Hamada
Hiroyuki Shindo
Yoshio Takatori
Harumoto Yamada
Yuji Yasunaga
Hiroshi Ito
Satoshi Mori
Ichiro Owan
Genji Fujii
Hirotsugu Ohashi
Yukihide Iwamoto
Keita Miyanishi
Toshiro Iga
Naonobu Takahira
Tanzo Sugimori
Hajime Sugiyama
Kunihiko Okano
Tatsuro Karita
Kenichi Ando
Takanari Hamaki
Teruhisa Hirayama
Ken Iwata
Satoshi Nakasone
Masanori Matsuura
Taro Mawatari
Publication date: 01-03-2011
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 2/2011
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-011-0025-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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