nach oben

Erschienen in:

01.03.2011 | Original article

Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia

verfasst von: Seiya Jingushi, Satoko Ohfuji, Muroto Sofue, Yoshio Hirota, Moritoshi Itoman, Tadami Matsumoto, Yoshiki Hamada, Hiroyuki Shindo, Yoshio Takatori, Harumoto Yamada, Yuji Yasunaga, Hiroshi Ito, Satoshi Mori, Ichiro Owan, Genji Fujii, Hirotsugu Ohashi, Yukihide Iwamoto, Keita Miyanishi, Toshiro Iga, Naonobu Takahira, Tanzo Sugimori, Hajime Sugiyama, Kunihiko Okano, Tatsuro Karita, Kenichi Ando, Takanari Hamaki, Teruhisa Hirayama, Ken Iwata, Satoshi Nakasone, Masanori Matsuura, Taro Mawatari

Erschienen in: Journal of Orthopaedic Science | Ausgabe 2/2011

Einloggen, um Zugang zu erhalten

Abstract

Background

We conducted a nationwide epidemiologic study regarding hip osteoarthritis (OA) in Japan, and a previous report found these patients to be unique in comparison to Caucasians. This report focused on the data regarding each hip joint, and the involvement of acetabular dysplasia with hip OA was analyzed.

Methods

Seven hundred twenty OA hips were examined. Sixty-five joints with osteonecrosis of the femoral head and 215 non-OA contralateral joints of the unilateral patients were examined as controls. The revised system of stage classification for hip OA of the Japanese Orthopedic Association (JOA) was used according to the reproducibility in order to ensure reliable data from the multiple institutions. The acetabular dysplasia indexes were also chosen according to the reproducibility and measured in the radiograph of bilateral hip joints. The clinical score was assessed using the JOA scoring system. The relative risk of the grade of acetabular dysplasia indexes for hip OA was calculated as the odds ratio and the 95% confidence interval.

Results

The stage of the OA joints deteriorated with increasing age. The clinical scores also decreased. The grade of the acetabular dysplasia indexes of the OA joints was significantly higher than that of the control joints. Each index of acetabular dysplasia demonstrated significantly increased odds ratios for hip OA. Among the OA joints, the deterioration of the OA stage was found to be significantly associated with an increasing grade of acetabular dysplasia. The odds ratio for OA deterioration in the acetabular dysplasia index was also obtained. The joints of females tended to have a higher grade and prevalence of acetabular dysplasia than those of males.

Conclusions

These findings confirmed a high prevalence of acetabular dysplasia in hip OA joints in Japan. Acetabular dysplasia was one of the most important factors associated with hip OA.

Jingushi S, Ohfuji S, Sofue M, Hirota Y, Itoman M, Matsumoto T, Takatori Y, Tamada H, Yasunaga Y, Ito H, Mori S, Owan I, Genji F, Ohashi H, Iwamoto Y, Miyanishi K, Iga T, Takahira N, Sugimori T, Sugiyama H, Okano K, Karita T, Ando K, Hamaki T, Hirayama T, Iwata K, Nakasone S, Matsuura M, Mawatari T. A multi-institutional epidemiologic study regarding osteoarthritis of the hip in Japan. J Orthop Sci. 2010;15(5):626–31.PubMedCrossRef

Ueno R. Staging of osteoarthritis of the hip joint according to the roentgenographic findings. J Jpn Orthop Assoc. 1971;45:826–8 (in Japanese).

Takatori Y, Ito K, Sofue M, Hirota Y, Itoman M, Matsumoto T, Takatori Y, Tamada H, Yasunaga Y, Ito H, Mori S, Owan I, Genji F, Ohashi H, Iwamoto Y, Miyanishi K, Iga T, Takahira N, Sugimori T, Sugiyama H, Okano K, Karita T, Ando K, Hamaki T, Hirayama T, Iwata K, Nakasone S, Matsuura M, Mawatari T, Jingushi S. An analysis of interobserver reliability for radiographic staging of coxarthrosis and indexes of acetabular dysplasia—a preceding study. J Orthop Sci. 2010;15:14–9.PubMedCrossRef

Sharp IK. Acetabular dysplasia. The acetabular angle. J Bone Joint Surg Br. 1961;43:268–72.

Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip joint with special reference to the complication of osteoarthritis. Acta Chir Scand Suppl. 1939;58:1–135.

Massie WK, Howorth MB. Congenital dislocation of the hip. Part I. Method of grading results. J Bone Joint Surg Am. 1950;32:519–31.PubMed

Heyman CH, Herndon CH. Legg-Perthes disease. A method for the measurement of the roentgenographic result. J Bone Joint Surg Am. 1950;32:767–8.PubMed

Shima Y. Standard for evaluation of osteoarthritis of the hip. Nippon Seiekeigekagakkai Zasshi. 1971;45:813–33 (in Japanese).

Lloyd-Roberts GC. Osteoarthritis of the hip. A study of the clinical pathology. J Bone Joint Surg. 1953;37B:8–45.

10.

Solomon L. Patterns of osteoarthritis of the hip. J Bone Joint Surg. 1976;58B:176–83.

11.

Harris WH. Etiology of osteoarthritis of the hip. Clin Orthop. 1986;213:20–33.PubMed

12.

Jessel RH, Zurakowski D, Zilkens C, Burstein D, Gray MI, Kim Y-J. Radiographic and patient factors associated with pre-radiographic osteoarthritis in hip dysplasia. J Bone Joint Surg Am. 2009;91:1120–9.PubMedCrossRef

13.

Lane NE, Nevitt MC, Cooper C, Pressman A, Gore R, Hochberg M. Acetabular dysplasia and osteoarthritis of the hip in elderly white women. Ann Rheum Dis. 1997;56:627–30.PubMedCrossRef

14.

Lane NE, Lin P, Christiansen L, Gore LR, Williams EN, Hochberg MC, Nevitt MC. Association of mild acetabular dysplasia with an increased risk of incident hip osteoarthritis in elderly white women. Arthritis Rheum. 2000;43:400–4.PubMedCrossRef

15.

Maeyama A, Naito M, Moriyama S, Yoshimura I. Evaluation of dynamic instability of the dysplastic hip with use of triaxial accelerometry. J Bone Joint Surg Am. 2008;90:85–92.PubMedCrossRef

16.

Inoue K, Wicart P, Kawasaki T, Huang J, Ushiyama T, Hukuda S, Courpied J-P. Prevalence of hip osteoarthritis and acetabular dysplasia in French and Japanese adults. Rheumatology. 2000;39:745–8.PubMedCrossRef

17.

Yoshimura N, Campbell L, Hashimoto T, Kinoshita H, Okayasu T, Wilman C, Coggon D, Croft P, Cooper C. Acetabular dysplasia and hip osteoarthritis in Britain and Japan. Br J Rheumatol. 1998;37:1193–7.PubMedCrossRef

18.

Ali-Gombe A, Croft PR, Silman AJ. Osteoarthritis of the hip and acetabular dysplasia in Nigerian men. J Rheumatol. 1996;23:512–5.PubMed

19.

Goker B, Sancak A, Haznedaroglu S. Radiographic hip osteoarthritis and acetabular dysplasia in Turkish men and women. Rheumatol Int. 2005;25:419–22.PubMedCrossRef

20.

Lau EM, Lin F, Lam D, Silman A, Croft P. Hip osteoarthritis and dysplasia in Chinese men. Ann Rheum Dis. 1995;54:965–9.PubMedCrossRef

21.

Reijman M, Hazes JMW, Pols HAP, Koes BW, Bierma-Zeinstra SMA. Acetabular dysplasia predicts incident osteoarthritis of the hip. Arthritis Rheum. 2005;52:787–93.PubMedCrossRef

22.

Vossinakis IC, Georgiades G, Kafidas D, Hartofilakidis G. Unilateral hip osteoarthritis: can we predict the outcome of the other hip? Skeletal Radiol. 2008;37:911–6.PubMedCrossRef

23.

Lian K, Lui L, Zmuda JM, Nevitt MC, Hochberg MC, Lee JM, Li J, Lane NE. Estrogen receptor alpha genotype is associated with a reduced prevalence of radiographic hip osteoarthritis in elderly Caucasian women. Osteoarthr Cartil. 2007;15:972–8.PubMedCrossRef

Titel: Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia
verfasst von: Seiya Jingushi
Satoko Ohfuji
Muroto Sofue
Yoshio Hirota
Moritoshi Itoman
Tadami Matsumoto
Yoshiki Hamada
Hiroyuki Shindo
Yoshio Takatori
Harumoto Yamada
Yuji Yasunaga
Hiroshi Ito
Satoshi Mori
Ichiro Owan
Genji Fujii
Hirotsugu Ohashi
Yukihide Iwamoto
Keita Miyanishi
Toshiro Iga
Naonobu Takahira
Tanzo Sugimori
Hajime Sugiyama
Kunihiko Okano
Tatsuro Karita
Kenichi Ando
Takanari Hamaki
Teruhisa Hirayama
Ken Iwata
Satoshi Nakasone
Masanori Matsuura
Taro Mawatari
Publikationsdatum: 01.03.2011
Verlag: Springer Japan
Erschienen in: Journal of Orthopaedic Science / Ausgabe 2/2011
Print ISSN: 0949-2658
Elektronische ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-011-0025-7

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia