Summary
In 59 patients, 86 hips with subluxation or hip dysplasia were examined to determine the natural course of the condition and select suitable treatment. Thirty-three percent of the joints (13/39 hips) developed early osteoarthritis from pre-osteoarthritis within an average term of 9.2 years, while the remaining, sixty-six percent (31/47 hips) developed advanced-stage osteoarthritis from early osteoarthritis within an average term of 7.8 years. Patients were classified into advanced and non-advanced groups according to radiographic analysis of the advance of the disease and statistical analysis was performed. In pre-osteoarthritis, centre-edge angle, slope of the acetabular roof, acetabular head index, acetabular depth ratio and Japanese Orthopaedic Association (JOA) hip score were significant predictors, while in early osteoarthritis, a broken Shenton's line, cranial joint space and JOA score were significant. On the basis of multiple parameters, formulas for predicting development in patients with pre-osteoarthritis, those with early osteoarthritis, and all patients together were established, with an accuracy of 87%, 71%, and 68%, respectively.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Cooperman DR, Wallensten R, Stulberg SD (1983) Acetabular dysplasia in the adult. Clin Orthop 175:79–85
Danielsson LG (1964) Incidence and prognosis of coxarthrosis. Acta Orthop Scand [Suppl] 66:9–114
Lloyd-Roberts GC (1955) Osteoarthritis of the hip. A study of the clinical pathology. J Bone Joint Surg [Br] 37:8–47
Macys JR, Bullough PG, Wilson PD (1980) Coxarthrosis: a study of the natural history based on a correlation of clinical, radiographic, and pathologic findings. Semin Arthritis Rheum 10:66–80
Mizuno M, Iwata H, Asai T, Hasegawa Y, Fukaya N, Miura T (1985) Radiographic study of the normal hip joint in female adults. Hip Joint '85, pp 105–109 (in Japanese)
Ninomiya S (1989) Rotational acetabular osteotomy for severely dysplastic hip in the adolescent and adult. Clin Orthop 247:127–137
Ninomiya S, Tagawa H (1984) Rotational acetabular osteotomy for the dysplastic hip. J Bone Joint Surg [Am] 66:430–436
Ninomiya S, Nakamura T, Kamogawa M (1984) Natural courses of coxarthrosis and indication of rotational acetabular osteotomy. J Jpn Orthop Assoc 58:779–792 (in Japanese)
Scolan S le (1924) Malformations et subluxation congénitale de la hanche. Thesis, Lyon
Stulberg SD, Cordell LD, Harris WH, Ramsey PL, Macedwen GD (1975) Unrecognized childhood disease: a major cause of idiopathic osteoarthritis of the hip. Hip, pp 212–228
Wedge JH, Wasylenko MJ (1979) The natural history of congenital disease of the hip. J Bone Joint Surg [Br] 61:334–338
Weinstein SL (1987) Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin Orthop 225:62–76
Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint with special reference to the complication of osteoarthritis. Acta Chir Scand [Suppl] 58:5–135
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hasegawa, Y., Iwata, H., Mizuno, M. et al. The natural course of osteoarthritis of the hip due to subluxation or acetabular dysplasia. Arch Orthop Trauma Surg 111, 187–191 (1992). https://doi.org/10.1007/BF00571474
Issue Date:
DOI: https://doi.org/10.1007/BF00571474