conference contribution
posted on 24.02.2021, 23:20 authored by Joshua HeereyJoshua Heerey, R Srinivasan, A Smith, Joanne KempJoanne Kemp, Tania PizzariTania Pizzari, Matthew KingMatthew King, Peter LawrensonPeter Lawrenson, Mark ScholesMark Scholes, R Souza, S Majumdar, Kay CrossleyKay Crossley Objective
To compare early hip osteoarthritis (OA) features on magnetic resonance imaging (MRI) in high-impact athletes with and without hip and/or groin pain, and to evaluate associations between early hip OA features, the International Hip Outcome Tool (iHOT33) and Copenhagen Hip and Groin Outcome Score (HAGOS).Design
A cross-sectional analysis evaluated data of the femoroacetabular impingement and hip osteoarthritis cohort (FORCe). One hundred and eighty-two symptomatic (hip and/or groin pain >6 months and positive flexion-adduction-internal-rotation (FADIR) test) and 55 pain-free high-impact athletes (soccer or Australian football (AF)) without definite radiographic hip OA underwent hip MRI. The Scoring Hip Osteoarthritis with MRI (SHOMRI) method quantified and graded the severity of OA features. Each participant completed the iHOT33 and HAGOS.Results
Hip and/or groin pain was associated with higher total SHOMRI (0 to 96) (mean difference 1.4, 95% CI: 0.7-2.2), labral score (adjusted incidence rate ratio (aIRR) 1.33, 95% CI: 1.1-1.6). Differences in prevalence of cartilage defects, labral tears and paralabral cysts between symptomatic and pain-free participants were inconclusive. There was a lower prevalence of effusion-synovitis in symptomatic participants when compared to pain-free participants (adjusted odds ratio (aOR) 0.46 (95% CI: 0.3-0.8). Early hip OA features were not associated with iHOT33 or HAGOS.Conclusions
A complex and poorly understood relationship exists between hip and/or groin pain and early hip OA features present on MRI in high-impact athletes without radiographic OA. Hip and/or groin pain was associated with higher SHOMRI and labral scores.History
Publication Date
01/04/2020Proceedings
OSTEOARTHRITIS AND CARTILAGEPublisher
ELSEVIER SCI LTDVolume
28Pagination
1p. (p. S263-S263)ISSN
1063-4584Name of conference
OARSI World Congress on Osteoarthritis - Promoting Clinical and Basic Research in OsteoarthritisLocation
Vienna, AUSTRIAStarting Date
30/04/2020Finshing Date
03/05/2020Rights Statement
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