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26.08.2023 | Scientific Article

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

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

Erschienen in: Skeletal Radiology | Ausgabe 3/2024

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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.

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Titel: Anterior and posterior hip osteoarthritis: prevalence and potential value of CT compared to radiographs
verfasst von: Ronald W. Mercer
Cynthia Assimta Peter
Ukasha Habib
Juliana Xie
Adam Graeber
F. Joseph Simeone
Connie Y. Chang
Publikationsdatum: 26.08.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Skeletal Radiology / Ausgabe 3/2024
Print ISSN: 0364-2348
Elektronische 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