The role of hip joint morphology in the development
of hip osteoarthritis
Massimo Bitocchi
Objective: the aim of this article was to assess the statistical date reported in the literature regarding hip morphology and hip osteoarthritis.
Introduction: Osteoarthritis is one of the most common types of arthritis that millions of people are affected around the world. An ageing population, increasing levels of obesity, and growth of sports-related injuries are all expected to contribute to an increased future burden of Osteoarthritis. Hip osteoarthritis is a major cause of hip pain, functional disability and poor quality of life. Hip morphology is thought to represent a risk for developing osteoarthritis.
Method: to this end, we searched the current literature for relevant studies, without over employing a specific methodological criterion for identifying and analyzing the literature.
Results: morphology Cam (alpha angle >60°; OR= 2.52, 95% CI: 1.83-3.46, P<0.,001) and Hip Dysplasia (lateral center-edge angle <25°; OR=2.38, 95% CI: 1.84-3.07, P<0,001) are produced association with Hip Osteoarthritis. The same for morphology Pincer in Cross-sectional studies (LCEA >39, OR= 3.71, 95% CI: 2.98 to 4.61, P < 0.001), but not in Prospective studies (LCEA >39; OR= 1.08, 95% CI: 0.57-2.07, P=0.810).
Conclusion: Cam morphology and hip dysplasia are associated with the development of hip osteoarthritis. Pincer morphology, however, has produced contrasting results, requiring more research especially with Prospective studies.