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Osteoarthritis of Hip
Eva M. Escobedo, MD; B. J. Manaster, MD, PhD, FACR
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22
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KEY FACTS

  • Terminology

    • Imaging

      • Diagnostic Checklist

        TERMINOLOGY

        • Abbreviations

          • Osteoarthritis (OA)
        • Synonyms

          • Degenerative joint disease
        • Definitions

          • Degenerative arthritis resulting from progressive cartilage degradation
            • Resultant hypertrophic change in bone

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Atsma F et al: Uniform criteria for total hip replacement surgery in patients with hip osteoarthritis: a decision tool to guide treatment decisions. Int J Qual Health Care. 33(1), 2021
                                        2. Hattori T et al: Association of chronic pain with radiologic severity and central sensitization in hip osteoarthritis patients. J Pain Res. 14:1153-60, 2021
                                        3. Katz JN et al: Diagnosis and treatment of hip and knee osteoarthritis: a review. JAMA. 325(6):568-78, 2021
                                        4. Nevalainen MT et al: Comparison of ultrasonographic, radiographic and intra-operative findings in severe hip osteoarthritis. Sci Rep. 10(1):21108, 2020
                                        5. Roemer FW et al: State of the art: imaging of osteoarthritis-revisited 2020. Radiology. 296(1):5-21, 2020
                                        6. Shapira J et al: Radiographic factors associated with hip osteoarthritis: a systematic review. J Hip Preserv Surg. 7(1):4-13, 2020
                                        7. von Schacky CE et al: Development and validation of a multitask deep learning model for severity grading of hip osteoarthritis features on radiographs. radiology. 295(1):136-45, 2020
                                        8. Kanezaki S et al: Magnetic resonance imaging findings compared with histological findings of the labrum in hip osteoarthritis. Skeletal Radiol. 44(6):767-75, 2015
                                        9. Lee S et al: Scoring hip osteoarthritis with MRI (SHOMRI): a whole joint osteoarthritis evaluation system. J Magn Reson Imaging. 41(6):1549-57, 2015
                                        10. Xu L et al: The diagnostic performance of radiography for detection of osteoarthritis-associated features compared with MRI in hip joints with chronic pain. Skeletal Radiol. 42(10):1421-8, 2013
                                        11. Gold SL et al: MRI of hip cartilage: joint morphology, structure, and composition. Clin Orthop Relat Res. 470(12):3321-31, 2012
                                        12. Deshmukh AJ et al: Intra-articular hip injection: does pain relief correlate with radiographic severity of osteoarthritis? Skeletal Radiol. 40(11):1449-54, 2011
                                        13. Roemer FW et al: Hip Osteoarthritis MRI Scoring System (HOAMS): reliability and associations with radiographic and clinical findings. Osteoarthritis Cartilage. 19(8):946-62, 2011
                                        14. Farrar EK et al: Osteoarthritis and exercise: a review of the literature. J S C Med Assoc. 105(1):8-11, 2009
                                        15. Paans N et al: The effects of exercise and weight loss in overweight patients with hip osteoarthritis: design of a prospective cohort study. BMC Musculoskelet Disord. 10:24, 2009
                                        16. Jacobson JA et al: Radiographic evaluation of arthritis: degenerative joint disease and variations. Radiology. 248(3):737-47, 2008
                                        17. Sampson TG: Arthroscopic treatment of femoroacetabular impingement. Am J Orthop. 37(12):608-12, 2008
                                        18. Taljanovic MS et al: Bone marrow edema pattern in advanced hip osteoarthritis: quantitative assessment with magnetic resonance imaging and correlation with clinical examination, radiographic findings, and histopathology. Skeletal Radiol. 37(5):423-31, 2008
                                        19. Ogawa K et al: Mature and activated osteoclasts exist in the synovium of rapidly destructive coxarthrosis. J Bone Miner Metab. 25(6):354-60, 2007
                                        20. Yamakawa T et al: Microvascular density of rapidly destructive arthropathy of the hip joint. J Orthop Surg (Hong Kong). 13(1):40-5, 2005
                                        21. Hartofilakidis G et al: Idiopathic osteoarthritis of the hip: incidence, classification, and natural history of 272 cases. Orthopedics. 26(2):161-6, 2003
                                        22. Manaster BJ: From the RSNA Refresher Courses. Radiological Society of North America. Adult chronic hip pain: radiographic evaluation. Radiographics. 20 Spec No:S3-25, 2000
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Osteoarthritis (OA)
                                              • Synonyms

                                                • Degenerative joint disease
                                              • Definitions

                                                • Degenerative arthritis resulting from progressive cartilage degradation
                                                  • Resultant hypertrophic change in bone

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Atsma F et al: Uniform criteria for total hip replacement surgery in patients with hip osteoarthritis: a decision tool to guide treatment decisions. Int J Qual Health Care. 33(1), 2021
                                                                              2. Hattori T et al: Association of chronic pain with radiologic severity and central sensitization in hip osteoarthritis patients. J Pain Res. 14:1153-60, 2021
                                                                              3. Katz JN et al: Diagnosis and treatment of hip and knee osteoarthritis: a review. JAMA. 325(6):568-78, 2021
                                                                              4. Nevalainen MT et al: Comparison of ultrasonographic, radiographic and intra-operative findings in severe hip osteoarthritis. Sci Rep. 10(1):21108, 2020
                                                                              5. Roemer FW et al: State of the art: imaging of osteoarthritis-revisited 2020. Radiology. 296(1):5-21, 2020
                                                                              6. Shapira J et al: Radiographic factors associated with hip osteoarthritis: a systematic review. J Hip Preserv Surg. 7(1):4-13, 2020
                                                                              7. von Schacky CE et al: Development and validation of a multitask deep learning model for severity grading of hip osteoarthritis features on radiographs. radiology. 295(1):136-45, 2020
                                                                              8. Kanezaki S et al: Magnetic resonance imaging findings compared with histological findings of the labrum in hip osteoarthritis. Skeletal Radiol. 44(6):767-75, 2015
                                                                              9. Lee S et al: Scoring hip osteoarthritis with MRI (SHOMRI): a whole joint osteoarthritis evaluation system. J Magn Reson Imaging. 41(6):1549-57, 2015
                                                                              10. Xu L et al: The diagnostic performance of radiography for detection of osteoarthritis-associated features compared with MRI in hip joints with chronic pain. Skeletal Radiol. 42(10):1421-8, 2013
                                                                              11. Gold SL et al: MRI of hip cartilage: joint morphology, structure, and composition. Clin Orthop Relat Res. 470(12):3321-31, 2012
                                                                              12. Deshmukh AJ et al: Intra-articular hip injection: does pain relief correlate with radiographic severity of osteoarthritis? Skeletal Radiol. 40(11):1449-54, 2011
                                                                              13. Roemer FW et al: Hip Osteoarthritis MRI Scoring System (HOAMS): reliability and associations with radiographic and clinical findings. Osteoarthritis Cartilage. 19(8):946-62, 2011
                                                                              14. Farrar EK et al: Osteoarthritis and exercise: a review of the literature. J S C Med Assoc. 105(1):8-11, 2009
                                                                              15. Paans N et al: The effects of exercise and weight loss in overweight patients with hip osteoarthritis: design of a prospective cohort study. BMC Musculoskelet Disord. 10:24, 2009
                                                                              16. Jacobson JA et al: Radiographic evaluation of arthritis: degenerative joint disease and variations. Radiology. 248(3):737-47, 2008
                                                                              17. Sampson TG: Arthroscopic treatment of femoroacetabular impingement. Am J Orthop. 37(12):608-12, 2008
                                                                              18. Taljanovic MS et al: Bone marrow edema pattern in advanced hip osteoarthritis: quantitative assessment with magnetic resonance imaging and correlation with clinical examination, radiographic findings, and histopathology. Skeletal Radiol. 37(5):423-31, 2008
                                                                              19. Ogawa K et al: Mature and activated osteoclasts exist in the synovium of rapidly destructive coxarthrosis. J Bone Miner Metab. 25(6):354-60, 2007
                                                                              20. Yamakawa T et al: Microvascular density of rapidly destructive arthropathy of the hip joint. J Orthop Surg (Hong Kong). 13(1):40-5, 2005
                                                                              21. Hartofilakidis G et al: Idiopathic osteoarthritis of the hip: incidence, classification, and natural history of 272 cases. Orthopedics. 26(2):161-6, 2003
                                                                              22. Manaster BJ: From the RSNA Refresher Courses. Radiological Society of North America. Adult chronic hip pain: radiographic evaluation. Radiographics. 20 Spec No:S3-25, 2000