La Trobe

File(s) not publicly available

Prevalence of osteoarthritis features on MRI in high-impact athletes: the femoroacetabular impingement and hip osteoarthritis cohort study

conference contribution
posted on 24.02.2021, 23:20 by Joshua Heerey, R Srinivasan, A Smith, Joanne Kemp, Tania Pizzari, Matthew King, Peter Lawrenson, Mark Scholes, R Souza, S Majumdar, Kay 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

01/04/2020

Proceedings

OSTEOARTHRITIS AND CARTILAGE

Publisher

ELSEVIER SCI LTD

Volume

28

Pagination

1p. (p. S263-S263)

ISSN

1063-4584

Name of conference

OARSI World Congress on Osteoarthritis - Promoting Clinical and Basic Research in Osteoarthritis

Location

Vienna, AUSTRIA

Starting Date

30/04/2020

Finshing Date

03/05/2020

Rights Statement

The Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.