Abstract
Purpose
Femoroacetabular impingement is a new disease concept for hip disorders in young adults suggested as a major cause of primary hip osteoarthritis in Western countries. However, significant controversy exists regarding the prevalence and contribution of impingement deformities to osteoarthritis in Japan, owing to the higher prevalence of developmental dysplasia of the hip. Therefore, the aims of this study were to: (1) determine the prevalence of structural abnormalities associated with hip disorders in patients undergoing total hip replacement and (2) analyse the contribution of impingement deformities to osteoarthritis.
Methods
We analysed 250 patients from two different medical centres who underwent primary total hip replacement except those which were due to femoral head necrosis, posttraumatic osteoarthritis and systemic inflammatory disease. The average patient age at surgery was 64 years (range, 40–89 years), with 35 men and 215 women.
Results
Radiographic abnormality related to developmental dysplasia of the hip was associated with the majority of osteoarthritic hips (62 %). Hips with femoroacetabular impingement deformities were present within the cases categorized as unknown etiology. Cam impingement deformity was present in 22 % of unknown aetiology cases when cases with reactive osteophytes were excluded from all cam deformity cases (pistol grip deformity and aspherical femoral heads).
Conclusions
The prevalence of femoroacetabular impingement within primary osteoarthritis cases and gender predominance of impingement deformities are relatively similar to those reported previously in Western populations. This finding indicates that femoroacetabular impingement deformities are associated with osteoarthritis in the Japanese population, although it has a lower frequency among all hip failure patients.
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References
Ganz R, Leunig M, Leunig-Ganz K, Harris WH (2008) The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin Orthop Relat Res 466:264–272
Clohisy JC, Beaulé PE, O’Malley A, Safran MR, Schoenecker P (2008) AOA symposium. Hip disease in the young adult: current concepts of etiology and treatment. J Bone Joint Surg Am 90:2267–2281
Nakamura S, Ninomiya S, Nakamura T (1989) Primary osteoarthritis of the hip joint in Japan. Clin Orthop Relat Res 241:190–196
Jingushi S, Ohfuji S, Sofue M, Hirota Y, Itoman M et al (2011) Osteoarthritis hip joints in Japan: involvement of acetabular dysplasia. J Orthop Sci 16(2):156–164
Jacobsen S, Sonne-Holm S, Soballe K, Gebuhr P, Lund B (2005) Joint space width in dysplasia of the hip: a case-control study of 81 adults followed for ten years. J Bone Joint Surg (Br) 87(4):471–477
Beck M, Kalhor M, Leunig M, Ganz R (2005) Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg (Br) 87:1012–1018
Clohisy JC, St John LC, Schutz AL (2010) Surgical treatment of femoroacetabular impingement: a systematic review of the literature. Clin Orthop Relat Res 468:555–564
Ganz R, Parvizi J, Beck M, Leunig M, Nötzli HP, Siebenrock KA (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 417:112–120
Imam S, Khanduja V (2011) Current concepts in the diagnosis and management of femoroacetabular impingement. Int Orthop 35:1427–1435
Crawford JR, Villar RN (2005) Current concepts in the management of femoroacetabular impingement. J Bone Joint Surg (Br) 87:1459–1462
Stafford G, Witt J (2009) The anatomy, diagnosis and pathology of femoroacetabular impingement. Br J Hosp Med 70:72–77
Lung R, O’Brien J, Grebenyuk J, Foster BB, De Vera M, Kopec J, Ratzlaff C, Garbuz D, Prlic H, Esdaile JM (2012) The prevalence of radiographic femoroacetabular impingement in younger individuals undergoing total hip replacement for osteoarthritis. Clin Rheumatol 31(8):1239–1242. doi:10.1007/s10067-012-1981-9
Clohisy JC, Carlisle JC, Beaulé PE, Kim YJ, Trousdale RT, Sierra RJ, Leunig M, Schoenecker PL, Millis MB (2008) A systematic approach to the plain radiographic evaluation of the young adult hip. J Bone Joint Surg Am 90(Suppl 4):47–66
Inoue K, Wicart P, Kawasaki T, Huang J, Ushiyama T, Hukuda S, Courpied J (2000) Prevalence of hip osteoarthritis and acetabular dysplasia in French and Japanese adults. Rheumatology 39:745–748
Clohisy JC, Dobson MA, Robison JF, Warth LC, Zheng J, Liu SS, Yehyawi TM, Callaghan JJ (2011) Radiographic structural abnormalities associated with premature, natural hip-joint failure. J Bone Joint Surg Am 93(Suppl 2):3–9
Stulberg SD, Cordell LD, Harris WH, Ramsey PL, MacEwen GD (1975) Unrecognized childhood hip disease: a major cause of idiopathic osteoarthritis of the hip. In: The hip proceedings of the third open scientific meeting of the hip society. St. Louis, pp 212–220
Tanzer M, Noiseux N (2004) Osseous abnormalities and early osteoarthritis. Clin Orthop Relat Res 429:170–177
Gosvig KK, Jacobsen S, Sonne-Holm S, Palm H, Troelsen A (2010) Prevalence of malformations of the hip joint and their relationship to sex, groin pain, and risk of osteoarthritis: a population-based survey. J Bone Joint Surg Am 92:1162–1169
Resnick D (1976) The ‘tilt deformity’ of the femoral head in osteoarthritis of the hip: a poor indicator of previous epiphysiolysis. Clin Radiol 27:355–363
Takeyama A, Naito M, Shiramizu K, Kiyama T (2009) Prevalence of femoroacetabular impingement in Asian patients with osteoarthritis of the hip. Int Orthop 33(5):1229–1232
Larson CM, Giveans MR (2008) Arthroscopic management of femoroacetabular impingement: early outcomes measures. Arthroscopy 24(5):540–546
Parvizi J, Bican O, Bender B, Mortazavi SM, Purtill JJ, Erickson J, Peters C (2009) Arthroscopy for labral tears in patients with developmental dysplasia of the hip: a cautionary note. J Arthroplasty 24:110–113
Clohisy JC, Knaus ER, Hunt DM, Lesher JM, Harris-Hayes M, Prather H (2009) Clinical presentation of patients with symptomatic anterior hip impingement. Clin Orthop Relat Res 467:638–644
Casartelli NC, Leunig M, Item-Glatthorn JF, Lepers R, Maffiuletti NA (2012) Hip flexor muscle fatigue in patients with symptomatic femoroacetabular impingement. Int Orthop 36:967–973
Byrd JW, Jones KS (2003) Hip arthroscopy in the presence of dysplasia. Arthroscopy 19:1055–1060
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Hashimoto, S., Fujishiro, T., Hayashi, S. et al. Clinical importance of impingement deformities for hip osteoarthritis progression in a Japanese population. International Orthopaedics (SICOT) 38, 1609–1614 (2014). https://doi.org/10.1007/s00264-014-2393-z
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DOI: https://doi.org/10.1007/s00264-014-2393-z