The importance of hip shape in predicting hip osteoarthritis

Details

• Alternative Title:
  Curr Treatm Opt Rheumatol
• Personal Author:
  Nelson, Amanda E.
• Description:
  Purpose of review:
  
  This narrative review summarizes the evidence relating hip shape and risk of osteoarthritis at the hip, with a focus on the most recent body of work.
  
  Recent findings:
  
  Hip OA is a prevalent and potentially disabling condition with few effective non-surgical treatment options. Risk factors for hip OA appear to differ somewhat from those at other sites. Variations in hip morphology, whether assessed through standard geometric measures or statistical modeling methods, seem to increase hip OA risk and may provide a novel approach to interventions to reduce or prevent OA. Such variations have also led to focused surgical interventions to “correct” abnormal shape, although comparisons with non-surgical management are lacking.
  
  Summary:
  
  There remains a lack of understanding regarding the optimal management, whether surgical, non-surgical, or a combination, for FAI syndrome. Even less is known regarding other potential morphologic variations that may contribute to OA risk. Additionally, many individuals who have shape variations that would seem to increase their risk will never develop hip OA. Questions remain regarding key risk factors for hip OA development, which individuals should be targeted for therapies, whether directed at symptoms, function, or prevention, and which therapies should be studied and offered. Trials are underway to help address some of these questions.
  
  
• Subjects:
  Article Cam And Pincer Morphology Femoroacetabular Impingement Hip Morphology Hip Osteoarthritis
• Source:
  Curr Treatm Opt Rheumatol. 4(2):214-222
• Pubmed ID:
  30510889
• Pubmed Central ID:
  PMC6269115
• Document Type:
  Journal Article
• Funding:
  K23 AR061406/AR/NIAMS NIH HHS/United States ; U01 DP006266/DP/NCCDPHP CDC HHS/United States
• Volume:
  4
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c67e985468edbf331cc632019c81229ba27eaf062c00a855b2347cf8b52a97d5
• Download URL:
  https://stacks.cdc.gov/view/cdc/76360/cdc_76360_DS1.pdf
• File Type:
  [PDF - 66.75 KB ]