1.Association of osteoporosis with radiologic grading of the hip among older Filipino patients with suspected hip osteoarthritis
Carl Johnry J. Santos ; Seth Gabriel F. Estanislao ; Irene S. Bandong
The Philippine Journal of Nuclear Medicine 2022;17(2):22-34
Introduction:
Among older populations, osteoarthritis (OA) is one of the most common chronic joint disorders and is a
leading cause of disability, while osteoporosis is the most common metabolic bone disease, conferring fragility
and significant risk of fracture. The relationship between OA and osteoporosis remains controversial. Although
earlier studies reported an inverse association between the two diseases, more recent literature found a
complex relationship mediated by various factors.
Objective:
The investigators sought to determine the association of osteoporosis with radiologic grading of the hip among
older Filipino patients with suspected hip osteoarthritis.
Methodology:
A cross-sectional analytical study was conducted involving 256 patients with suspected hip OA who underwent
radiography of the hips and central dual energy x-ray absorptiometry (DXA). Radiographs of the hips were
evaluated by a radiologist using the Kellgren-Lawrence (KL) grading scale, while central DXA images were
processed and evaluated by a nuclear medicine physician using the World Health Organization criteria for the
diagnosis of osteoporosis and the 2019 International Society for Clinical Densitometry guidelines. The primary
outcome measures were the prevalence of osteoporosis in patients with suspected hip OA, and the association
of osteoporosis with radiologic KL grading of the hips. The secondary outcome measure was the association of
osteoporosis with sex and BMI.
Results:
The study found that osteoporosis was present in 136 (53.1%) of the 256 patients who all presented with
radiologic evidence of hip OA. There was a positive association between the presence of osteoporosis and the
radiologic grade of hip OA (p-value: 0.006 on the right hip and 0.036 on the left). Osteoporosis was more
prevalent in women compared to men (p-value: 0.031). Likewise, osteoporosis had a direct relationship with
BMI (p-value: <0.001).
Conclusion
Osteoporosis was prevalent in a significant proportion of older Filipino patients with clinical and radiologic
evidence of hip OA, particularly among women, and was positively associated with increasing severity of OA.
The study suggests that obesity may not necessarily protect against osteoporosis in this population, possibly
relating to increased adiposity and decreased lean muscle mass.
Osteoporosis
;
Osteoarthritis
;
Osteoarthritis, Hip
;
Absorptiometry, Photon
2.Osteoarthritis of Hip in a Hypogammaglobulinemia Patient.
Jang Suk CHOI ; Jung Han KIM ; Sang Yeong CHOI
The Journal of the Korean Orthopaedic Association 2010;45(4):326-329
Hypoglobulinemia is characterized by functional or quantitative abnormalities of one or more components of the immune system. It is typically manifests as recurrent infections that usually start in childhood. These recurrent infections cause various clinical symptoms. Infectious or aseptic arthritis can develop, and especially in bone and joint abnormalities. No case of arthritis in a patients with hypogammaglobulinemia has been reported, so we report on the management of osteoarthritis of the hip in a hypogammaglobulinemia patient.
Agammaglobulinemia
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Arthritis
;
Hip
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Humans
;
Immune System
;
Joints
;
Osteoarthritis
;
Osteoarthritis, Hip
3.Periacetabular Rotational Osteotomy in Hip Dysplasia: Short Term Follow up Result.
Myung Chul YOO ; Yoon Je CHO ; Kang Il KIM ; Hyun Chul PARK ; Chan Jong JUNG
The Journal of the Korean Orthopaedic Association 2005;40(4):434-441
PURPOSE: To evaluate the short term results of a periacetabular rotational osteotomy in early and moderate osteoarthritis of hip dysplasia by comparing the clinical findings and radiological measurements. MATERIALS AND METHODS: Thirty-six cases (34 patients) who received periacetabular rotational osteotomy for hip dysplasia with pain and could be followed up for more than one year were reviewed. The clinical findings were evaluated by the range of motion and HHS. The radiological measurements were evaluated using the center edge angle (CE angle), Sharp angle, acetabular-head index (A-H index) and Tonnis grade. RESULTS: The average Harris hip score improved from 79.4 points (60 to 89 points) to 95.1 points (82 to 100 points). The average range of motion did not change significantly. The mean CE angle increased from 7.1degrees (-7degrees to 19degrees) to 33.8degrees (27degrees to 44degrees), the mean sharp angle increased from 43.5degrees (26degrees to 53degrees) to 39.7degrees (30degrees to 49degrees), the mean A-H index increased from 56% (34% to 72%) to 90% (73% to 99%). The Tonnis grade had remained unchanged in 25 cases, improved in 9, and worsened in two. One case underwent total hip arthroplasty. CONCLUSION: The periacetabular rotational osteotomy is the preferred method for treating hip dyaplasia and preventing secondary osteoarthritis. However, a skillful technique is mandatory.
Arthroplasty, Replacement, Hip
;
Follow-Up Studies*
;
Hip Dislocation*
;
Hip*
;
Osteoarthritis
;
Osteoarthritis, Hip
;
Osteotomy*
;
Range of Motion, Articular
4.Hip Arthroscopy for Incarcerated Acetabular Labrum following Reduction of Traumatic Hip Dislocation: Three Case Reports.
Jung Mo HWANG ; Deuk Soo HWANG ; Woo Yong LEE ; Chang Kyun NOH ; Long ZHENG
Hip & Pelvis 2016;28(3):164-168
Traumatic hip fracture-dislocations are associated with chondral and labral pathology as well as loose bodies that can be incarcerated in the hip joint. Incarceration, such as interposed labrum between acetabulum and femoral head that is not readily visualized preoperatively, is a rare but important cause of pain and can potentially be a source for early degeneration and progression to osteoarthritis. We present three cases, arthroscopic surgery of incarcerated acetabular osseo-labral fragment following reduction of traumatic hip fracture-dislocation.
Acetabulum*
;
Arthroscopy*
;
Head
;
Hip Dislocation*
;
Hip Joint
;
Hip*
;
Osteoarthritis
;
Pathology
5.Changes of the hip joints associated with chronic subluxation and dislocation: CT and plain radiographic analysis.
Ik YANG ; Kyung Nam RYU ; Sun Wha LEE ; Woo Suk CHOI ; Eil Seong LEE
Journal of the Korean Radiological Society 1993;29(3):522-527
Secondary osteoarthritis of hip joints is a common disease and is frequently followed by chronic sublexation and dislocation. Twenty four case of the secondary osteoarthritis associated with chronic subluxation and dislocation of the hip joints were evaluated with plain radiography and computed tomography. We retrospectively analyzed 1) the ossification and calcification of the acetabular labrum, 2) the thickeness of the quadrilateral plate of the ilium, and 3) anteroposterior diameter of the acetabulum. The changes of the hip joints in subluxation (n=14) revealed ossification of the acetabular labrum in 12 cases (86%), thickening of the quadrilateral plate of the ilium in 11 cases (78%) but anteroposterior diameter of the acetabulum was not changed. The changes of the hip joints in dislocation (n=10) revealed no evidence of the ossification of the acetabular labrum, thickening of the quadrilateral plate of the ilium in 10 cases (100%) and decreased anteroposterior diameter of the acetabulum. We conclude that CT findings of subluxation and dislocation of the hip joints can be helpful in the evaluation of the secondary osteoarthritis of the hip joints.
Acetabulum
;
Dislocations*
;
Hip Joint*
;
Hip*
;
Ilium
;
Joints
;
Osteoarthritis
;
Osteoarthritis, Hip
;
Radiography
;
Retrospective Studies
6.Characteristics of Stair Ascent in Patients with Knee Osteoarthritis.
Deog Young KIM ; Chang il PARK ; Won Hyuk CHANG ; Tae Hoon PARK ; So Young AHN ; Sun Kyoung LEE ; Don Sin LEE
Journal of the Korean Academy of Rehabilitation Medicine 2005;29(6):654-661
OBJECTIVE: To investigate the kinematic and kinetic characteristics of stair ascent in patients with knee osteoarthritis. METHOD: Twenty patients with knee osteoarthritis and twenty healthy controls were recruited. The kinematic and kinetic data were obtained through a three dimensional motion analyzer. The kinematic and kinetic data during stair ascent were compared between two groups. RESULTS: The total required time of stair ascent was significantly longer in the osteoarthritis group than that of the control group (p<0.05). In comparison with the control group, the angle of maximal pelvis anterior tilting, minimal and maximal hip flexion and minimal knee flexion were significantly increased (p<0.05). However, the angle of knee flexion and ankle dorsiflexion at initial contact were significantly decreased in the osteoarthritis group (p<0.05). The maximal moment and power of knee extension and ankle plantarflexion were significantly decreased in the osteoarthritis group (p<0.05). Sixteen patients (80.0%) in the osteoarthritis group showed flexion arc after initial contact. "W" sign was shown in 16 patients (80.0%). CONCLUSION: We found the unique kinematic and kinetic patterns during stair ascent in patients with knee osteoarthritis, and that knee osteoarthritis influence not only kinematic and kinetic patterns of knee but also those of hip and ankle.
Ankle
;
Hip
;
Humans
;
Knee*
;
Osteoarthritis
;
Osteoarthritis, Knee*
;
Pelvis
7.Rapid Destruction of the Hip Joint Accompanied by an Enlarged Iliopsoas Bursa in a Healthy Man.
Hip & Pelvis 2014;26(3):189-193
Association between enlarged iliopsoas bursa and hip lesions such as osteoarthritis of the hip or femoral head necrosis is infrequently seen. Enlarged iliopsoas bursa with a rapidly destructive arthropathy is claimed to be seen only in patients with rheumatoid arthritis. In this paper, we report a patient with a rapidly destructive arthropathy accompanied by an enlarged iliopsoas bursa that has been misdiagnosed as an infection.
Arthritis, Rheumatoid
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Head
;
Hip
;
Hip Joint*
;
Humans
;
Necrosis
;
Osteoarthritis
8.Unusual Cause of Hip Pain: Intrusion of the Acetabular Labrum.
Se Ang JANG ; Young Ho CHO ; Young Soo BYUN ; Dae Geun JEONG ; In Ho HAN ; Min Guek KIM
Hip & Pelvis 2015;27(1):49-52
Femoroacetabular impingement and dysplatic hip joint is well known cause of osteoarthritis. In these diseases, labral tear and subsequent cartilage damage is thought to be main pathophysiology of development of osteoarthritis. If there are no known bony abnormalities, we called it as idiopathic osteoarthritis. Normal appearance of acetabular labrum is a continuous, usually triangular structure that attaches to the bony rim of the acetabulum and is completed at the inferior portion by the transverse acetabular ligament over the acetabular notch. A few authors reported intra-articular labrum and its relation to the development of osteoarthritis. But they didn't comment the primary bony abnormality especially acetabulum. We'd like to report x-ray, computed tomogram, magnetic resonance arthrogram and arthroscopic findings of a case had double contour sign of acetabular dome combined with intrusion of acetabular labrum.
Acetabulum*
;
Cartilage
;
Femoracetabular Impingement
;
Hip Joint
;
Hip*
;
Ligaments
;
Osteoarthritis
9.Radiographic Analysis of CLS Expansion Acetabular Cup in Total Hip Arthroplasty: Preliminary Report
Hak Jin MIN ; Keun Woo KIM ; Pil Gu LEE ; Yong Hoon KIM ; Ui Seoung YOON ; Ki Seung KEUM
The Journal of the Korean Orthopaedic Association 1995;30(3):529-536
Since the use of Charnley hip prosthesis, total hip arthroplasty has been used for the treatment of coxarthrosis. However, aseptic lossening of the acetabular cup component in total hip arthroplasty remains the most common cause of failure and most serious complication. Cementless acetabular cup fixation in total hip arthroplasty is increasingly popular because of the high failure rates of cemented components, particularly in younger and more active patients. We have experienced 62 cases of CLS expansion acetabular cup developed by L. Spontorno, from January 1992 to January 1994. We analysed 41 CLS expansion acetabular cup components in 38 patients performed at the Department of Orthopedic Surgery, Kang Nam General Hospital with minimum follow up lyear(average 17.3 months). The object of this study is to evaluate the radiographic change of the cup inclination, horizontal and vertical migration of the CLS expansion acetabular cup by methods of Engh et al, and Callagham et al. The results were as follows: 1. The initial adequate contact fit were 39 hips and inadequate fit in 2 hips. 2. The initial acetabular inclination between 35 degrees and 55 degrees were 38 hips. 3. Vertical and/or horizontal migration was not occurred, except 2 hips which were complicated by deep infection. 4. Change of acetabular cup inclination than 5 degrees were not occurred. 5. Radiolucent line wider than 2mm was not found. 6. In final follow up of out 41 hips optimal stability was obtained in 39 hips, suboptimal stability was obtained in 2 hips, and definite instability was not found.
Acetabulum
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Arthroplasty, Replacement, Hip
;
Follow-Up Studies
;
Hip
;
Hip Prosthesis
;
Hospitals, General
;
Humans
;
Orthopedics
;
Osteoarthritis, Hip
10.Rapidly Destructive Coxarthrosis in Patients with Rheumatoid Arthritis: Report on 3 Cases.
Ho Hyun YUN ; Jung Ro YOON ; Deuk Soo LIM ; Ju Won YI
Journal of the Korean Hip Society 2010;22(3):234-240
Rapidly destructive coxarthrosis may be caused by osteoarthritis, osteonecrosis of the femoral head and rheumatoid arthritis, but its etiology has not been clarified. Rapidly destructive coxarthrosis generally occurs in old age patients and the patients clinically show severe pain, but a relatively preserved range of motion. Rapidly destructive coxarthrosis is characterized by a rapid destruction, resorption and subluxation of the femoral head, destruction of the articular area in the acetabulum, above 50% or 2 mm/year loss of the joint space and minimal osteophyte formation. The radiologic changes are dramatic and they may mimic neuropathic or septic arthritis. We report here on three cases of rheumatoid arthritis that had acute destruction of the hip joint and rapid resorption of the femoral head, and we also review the relevant medical literature. We recommend taking repetitive radiographs for rheumatoid arthritis patients who suffer with continuing severe hip pain.
Acetabulum
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Arthritis, Infectious
;
Arthritis, Rheumatoid
;
Head
;
Hip
;
Hip Joint
;
Humans
;
Hydrazines
;
Joints
;
Osteoarthritis
;
Osteoarthritis, Hip
;
Osteonecrosis
;
Osteophyte
;
Range of Motion, Articular