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Hip dysplasia: a significant risk factor for the development of hip osteoarthritis. A cross-sectional survey
Abstract
OBJECTIVES: The aim of this cross-sectional survey of 2232 women and 1336 men (age range 20-91 yr) was to investigate individual risk factors for hip joint osteoarthritis (OA). METHODS: Standardized, weight-bearing pelvic radiographs were evaluated. Radiological hip joint OA was defined as minimum joint space width (JSW) </=2.0 mm. Hip dysplasia was evaluated according to common radiographic indices. Radiographic findings were correlated to general health and lifestyle information obtained at baseline examinations and questionnaires. The study focused on age; self-reported hip pain, occupational exposure to repeated daily lifting, body mass index, smoking and hip dysplasia. RESULTS: Hip dysplasia (HD) prevalence ranged from 5.4-12.8% depending on the radiographic index applied. Hip OA prevalence was 1.0-2.5% in subjects <60 yr of age and 4.4-5.3% in subjects >/=60 yr of age. Of factors entered into logistic regression analyses, only age (P<0.001 for right hips and P<0.001 for left hips) and hip dysplasia (P<0.001 for right hips and P = 0.004 for left hips) were significantly associated with hip OA prevalence in women. In men, only hip dysplasia was associated with hip OA prevalence, P<0.001 in right hips and P = 0.001 in left hips. CONCLUSIONS: Of the individual risk factors investigated in this study, only age and hip dysplasia were associated with the development of hip osteoarthritis.
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Damage to the labrum and cartilage, together with lack of acetabular bony coverage and inherent soft tissue laxity, can contribute to various degrees of dynamic instability of the hip joint and cause progressive osteoarthritic changes.
“This damage, together with the lack of acetabular bony coverage and inherent soft tissue laxity, can contribute to various degrees of dynamic instability of the hip joint and cause progressive osteoarthritic changes [8, 12, 19].”
From Femoral head translation in borderline and definite dysplastic hips during weight‐bearing: 2D/3D image registration analysis (2023) · cites this paper as [12]
The Discussion (page unavailable) says reduced load-transferring area in dysplastic hips may lead to degeneration and reports an association between hip dysplasia and osteoarthritis. It does not address labral or cartilage damage, soft-tissue laxity, or dynamic instability as the proposed mechanism. (LLM, conf=0.86)
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Cited by
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Sakai, S., Kutsuna, T., Kono, K., Kinoshita, T., Mashima, N., & Takao, M. (2023) · Journal of Experimental Orthopaedics · doi:10.1186/s40634-023-00707-8 · Cited by 16
Metadata
- Authors
- Jacobsen, S., & Sonne-Holm, S.
- Affiliations
- Hvidovre Hospital (DK)
- Corresponding author
- Jacobsen, S.
- ORCID
- Jacobsen, S.
- Venue
- Rheumatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-10-12
- Volume
- 44
- Issue
- 2
- Pages
- 211-218
- ISSN
- 1462-0324 (ISSN-L)
- 1462-0332
- OpenAlex
- W2101791609
- Cited by
- 316
- References
- 0
- Citations by year
- 2026: 12 · 2025: 17 · 2024: 25 · 2023: 26 · 2022: 20 · 2021: 24 · 2020: 16 · 2019: 21 · 2018: 16 · 2017: 15 · 2016: 18 · 2015: 10 · 2014: 11 · 2013: 21 · 2012: 14
- FWCI
- 2.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Lara D. Veeken (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Gigtforeningen
- Sundhed og Sygdom, Det Frie Forskningsråd
- Rigshospitalet
- Medical Research Council
- Topics
- Health Sciences › Medicine › Surgery › Hip disorders and treatments
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone and Joint Diseases
- Keywords
- hip dysplasia, hip osteoarthritis, risk factors, joint space width, pelvic radiography, age, sex differences, hip pain, occupational lifting, body mass index, smoking, prevalence
- MeSH terms
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Denmark, Female, Hip Dislocation, Humans, Male, Middle Aged, Pain, Radiography, Regression Analysis, Risk Factors, Reproducibility of Results, Osteoarthritis, Hip, Prevalence, Age Distribution
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