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Osteoarthritis and bone: osteologic types of osteoarthritis of the hip

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Abstract

To assess prognosis and indications for allografting articular surfaces, osteological examination is of increasing importance. In this study 93 femoral heads of patients with primary osteoarthritis could be differentiated into three osteologic types using histomorphometry: (1) the osteosclerotic type (77% of cases), (2) the hyperostotic type, with excessive neogenesis of bone all over the femoral head and increased formation of osteophytes (10% of cases), and (3) the osteopenic type, with decreased bone mass and features of bone remodelling, a greater occurrence of subchondral cysts, and small osteophytes (8% of cases). Radiological and clinical features to distinguish these groups are given. The consequences for pathogenesis and clinical practice are discussed.

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Authors and Affiliations

  1. Orthopaedic Clinic and Clinic of Internal Medicine, Department of Rheumatology and Osteology, Friedrich Schiller University, Jena, German Democratic Republic

    Ralf Oettmeier Dr. med. & Klaus Abendroth Dr. sc. med.

Authors
  1. Ralf Oettmeier Dr. med.
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  2. Klaus Abendroth Dr. sc. med.
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Oettmeier, R., Abendroth, K. Osteoarthritis and bone: osteologic types of osteoarthritis of the hip. Skeletal Radiol 18, 165–174 (1989). https://doi.org/10.1007/BF00360962

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