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

  • Imaging

    • Diagnostic Checklist

      TERMINOLOGY

      • Abbreviations

        • Rheumatoid arthritis (RA)
      • Definitions

        • Chronic progressive systemic inflammatory disease in which joints are primary target

      IMAGING

      • General Features

        • Radiographic Findings

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Choate EA et al: Ultrasound detects synovitis in replaced and other surgically operated joints in rheumatoid arthritis patients. BMC Rheumatol. 4:8, 2020
                                        2. Lee YH et al: Risk of total knee and hip arthroplasty in patients with rheumatoid arthritis: a 12-year retrospective cohort study of 65,898 patients. J Arthroplasty. 35(12):3517-23, 2020
                                        3. Taylor-Williams O et al: Incidence and complication rates for total hip arthroplasty in rheumatoid arthritis: a systematic review and meta-analysis across four decades. Rheumatol Ther. 7(4):685-702, 2020
                                        4. Nakajima A et al: Predictive factors for radiographic progression of large joint damage in patients with rheumatoid arthritis treated with biological disease-modifying antirheumatic drugs (bDMARDs): results of 3 to 4 years of follow-up. Mod Rheumatol. 29(6):903-9, 2019
                                        5. Cordtz RL et al: Incidence of hip and knee replacement in patients with rheumatoid arthritis following the introduction of biological DMARDs: an interrupted time-series analysis using nationwide Danish healthcare registers. Ann Rheum Dis. 77(5):684-9, 2018
                                        6. Jin S et al: Incidence of fractures among patients with rheumatoid arthritis: a systematic review and meta-analysis. Osteoporos Int. 29(6):1263-75, 2018
                                        7. Sarazin J et al: Case series: monoarticular rheumatoid arthritis. Eur J Rheumatol. 4(4):264-7, 2017
                                        8. Bause L: Short stem total hip arthroplasty in patients with rheumatoid arthritis. Orthopedics. 38(3 Suppl):S46-50, 2015
                                        9. Liao CY et al: Comparison of total hip and knee joint replacement in patients with rheumatoid arthritis and osteoarthritis: a nationwide, population-based study. Singapore Med J. 56(1):58-64, 2015
                                        10. Nikiphorou E et al: The effect of disease severity and comorbidity on length of stay for orthopedic surgery in rheumatoid arthritis: results from 2 UK Inception cohorts, 1986-2012. J Rheumatol. 42(5):778-85, 2015
                                        11. Sidler-Maier CC et al: Incidence and predisposing factors of periprosthetic proximal femoral fractures: a literature review. Int Orthop. 39(9):1673-82, 2015
                                        12. Okamura K et al: Evaluation of tocilizumab therapy in patients with rheumatoid arthritis based on FDG-PET/CT. BMC Musculoskelet Disord. 15:393, 2014
                                        13. Bøyesen P et al: Prediction of MRI erosive progression: a comparison of modern imaging modalities in early rheumatoid arthritis patients. Ann Rheum Dis. 70(1):176-9, 2011
                                        14. Aletaha D et al: 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 62(9):2569-81, 2010
                                        15. Narváez JA et al: MR imaging of early rheumatoid arthritis. Radiographics. 30(1):143-63; discussion 163-5, 2010
                                        16. Barnabe C et al: Effect of tumor necrosis factor alpha inhibition on bone density and turnover markers in patients with rheumatoid arthritis and spondyloarthropathy. Semin Arthritis Rheum. 39(2):116-22, 2009
                                        17. Seki E et al: Radiographic progression in weight-bearing joints of patients with rheumatoid arthritis after TNF-blocking therapies. Clin Rheumatol. 28(4):453-60, 2009
                                        18. Bongartz T et al: Incidence and risk factors of prosthetic joint infection after total hip or knee replacement in patients with rheumatoid arthritis. Arthritis Rheum. 59(12):1713-20, 2008
                                        19. Cheong HW et al: Imaging of diseases of the axial and peripheral skeleton. Radiol Clin North Am. 46(4):703-33, vi, 2008
                                        20. Chopin F et al: Long-term effects of infliximab on bone and cartilage turnover markers in patients with rheumatoid arthritis. Ann Rheum Dis. 67(3):353-7, 2008
                                        21. Engvall IL et al: Impact of low-dose prednisolone on bone synthesis and resorption in early rheumatoid arthritis: experiences from a two-year randomized study. Arthritis Res Ther. 10(6):R128, 2008
                                        22. Figueras Coll G et al: Results of acetabular wiremesh and autograft in protrusio acetabuli. Hip Int. 18(1):23-8, 2008
                                        23. Güler-Yüksel M et al: Changes in bone mineral density in patients with recent onset, active rheumatoid arthritis. Ann Rheum Dis. 67(6):823-8, 2008
                                        24. Kapetanovic MC et al: Orthopaedic surgery in patients with rheumatoid arthritis over 20 years: prevalence and predictive factors of large joint replacement. Ann Rheum Dis. 67(10):1412-6, 2008
                                        25. Yoshioka T et al: Rapid destruction of the hip joint associated with enlarged iliopsoas bursa in a patient with refractory rheumatoid arthritis. J Nippon Med Sch. 75(4):233-8, 2008
                                        26. Arai K et al: Proximal femoral fracture in patients with rheumatoid arthritis. Mod Rheumatol. 17(4):317-21, 2007
                                        27. Kumar N et al: Causes of death in patients with rheumatoid arthritis: comparison with siblings and matched osteoarthritis controls. J Rheumatol. 34(8):1695-8, 2007
                                        28. Tengstrand B et al: Randomized withdrawal of long-term prednisolone treatment in rheumatoid arthritis: effects on inflammation and bone mineral density. Scand J Rheumatol. 36(5):351-8, 2007
                                        29. Matewski D et al: Outcome of total hip replacement in rheumatic arthritis. Ortop Traumatol Rehabil. 7(6):633-8, 2005
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Imaging

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Rheumatoid arthritis (RA)
                                            • Definitions

                                              • Chronic progressive systemic inflammatory disease in which joints are primary target

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Choate EA et al: Ultrasound detects synovitis in replaced and other surgically operated joints in rheumatoid arthritis patients. BMC Rheumatol. 4:8, 2020
                                                                              2. Lee YH et al: Risk of total knee and hip arthroplasty in patients with rheumatoid arthritis: a 12-year retrospective cohort study of 65,898 patients. J Arthroplasty. 35(12):3517-23, 2020
                                                                              3. Taylor-Williams O et al: Incidence and complication rates for total hip arthroplasty in rheumatoid arthritis: a systematic review and meta-analysis across four decades. Rheumatol Ther. 7(4):685-702, 2020
                                                                              4. Nakajima A et al: Predictive factors for radiographic progression of large joint damage in patients with rheumatoid arthritis treated with biological disease-modifying antirheumatic drugs (bDMARDs): results of 3 to 4 years of follow-up. Mod Rheumatol. 29(6):903-9, 2019
                                                                              5. Cordtz RL et al: Incidence of hip and knee replacement in patients with rheumatoid arthritis following the introduction of biological DMARDs: an interrupted time-series analysis using nationwide Danish healthcare registers. Ann Rheum Dis. 77(5):684-9, 2018
                                                                              6. Jin S et al: Incidence of fractures among patients with rheumatoid arthritis: a systematic review and meta-analysis. Osteoporos Int. 29(6):1263-75, 2018
                                                                              7. Sarazin J et al: Case series: monoarticular rheumatoid arthritis. Eur J Rheumatol. 4(4):264-7, 2017
                                                                              8. Bause L: Short stem total hip arthroplasty in patients with rheumatoid arthritis. Orthopedics. 38(3 Suppl):S46-50, 2015
                                                                              9. Liao CY et al: Comparison of total hip and knee joint replacement in patients with rheumatoid arthritis and osteoarthritis: a nationwide, population-based study. Singapore Med J. 56(1):58-64, 2015
                                                                              10. Nikiphorou E et al: The effect of disease severity and comorbidity on length of stay for orthopedic surgery in rheumatoid arthritis: results from 2 UK Inception cohorts, 1986-2012. J Rheumatol. 42(5):778-85, 2015
                                                                              11. Sidler-Maier CC et al: Incidence and predisposing factors of periprosthetic proximal femoral fractures: a literature review. Int Orthop. 39(9):1673-82, 2015
                                                                              12. Okamura K et al: Evaluation of tocilizumab therapy in patients with rheumatoid arthritis based on FDG-PET/CT. BMC Musculoskelet Disord. 15:393, 2014
                                                                              13. Bøyesen P et al: Prediction of MRI erosive progression: a comparison of modern imaging modalities in early rheumatoid arthritis patients. Ann Rheum Dis. 70(1):176-9, 2011
                                                                              14. Aletaha D et al: 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 62(9):2569-81, 2010
                                                                              15. Narváez JA et al: MR imaging of early rheumatoid arthritis. Radiographics. 30(1):143-63; discussion 163-5, 2010
                                                                              16. Barnabe C et al: Effect of tumor necrosis factor alpha inhibition on bone density and turnover markers in patients with rheumatoid arthritis and spondyloarthropathy. Semin Arthritis Rheum. 39(2):116-22, 2009
                                                                              17. Seki E et al: Radiographic progression in weight-bearing joints of patients with rheumatoid arthritis after TNF-blocking therapies. Clin Rheumatol. 28(4):453-60, 2009
                                                                              18. Bongartz T et al: Incidence and risk factors of prosthetic joint infection after total hip or knee replacement in patients with rheumatoid arthritis. Arthritis Rheum. 59(12):1713-20, 2008
                                                                              19. Cheong HW et al: Imaging of diseases of the axial and peripheral skeleton. Radiol Clin North Am. 46(4):703-33, vi, 2008
                                                                              20. Chopin F et al: Long-term effects of infliximab on bone and cartilage turnover markers in patients with rheumatoid arthritis. Ann Rheum Dis. 67(3):353-7, 2008
                                                                              21. Engvall IL et al: Impact of low-dose prednisolone on bone synthesis and resorption in early rheumatoid arthritis: experiences from a two-year randomized study. Arthritis Res Ther. 10(6):R128, 2008
                                                                              22. Figueras Coll G et al: Results of acetabular wiremesh and autograft in protrusio acetabuli. Hip Int. 18(1):23-8, 2008
                                                                              23. Güler-Yüksel M et al: Changes in bone mineral density in patients with recent onset, active rheumatoid arthritis. Ann Rheum Dis. 67(6):823-8, 2008
                                                                              24. Kapetanovic MC et al: Orthopaedic surgery in patients with rheumatoid arthritis over 20 years: prevalence and predictive factors of large joint replacement. Ann Rheum Dis. 67(10):1412-6, 2008
                                                                              25. Yoshioka T et al: Rapid destruction of the hip joint associated with enlarged iliopsoas bursa in a patient with refractory rheumatoid arthritis. J Nippon Med Sch. 75(4):233-8, 2008
                                                                              26. Arai K et al: Proximal femoral fracture in patients with rheumatoid arthritis. Mod Rheumatol. 17(4):317-21, 2007
                                                                              27. Kumar N et al: Causes of death in patients with rheumatoid arthritis: comparison with siblings and matched osteoarthritis controls. J Rheumatol. 34(8):1695-8, 2007
                                                                              28. Tengstrand B et al: Randomized withdrawal of long-term prednisolone treatment in rheumatoid arthritis: effects on inflammation and bone mineral density. Scand J Rheumatol. 36(5):351-8, 2007
                                                                              29. Matewski D et al: Outcome of total hip replacement in rheumatic arthritis. Ortop Traumatol Rehabil. 7(6):633-8, 2005