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Relationship Between Hip Morphology and Hip‐Related Patient‐Reported Outcomes in Young and Middle‐Aged Individuals: A Population‐Based Study
Author(s) -
Kopec Jacek A.,
Qian Hong,
Cibere Jolanda,
Wong Hubert,
Li Linda C.,
Barber Morgan,
Prlic Helen M.,
Zhang Charlie,
Ratzlaff Charles,
Forster Bruce B.,
Esdaile John M.
Publication year - 2019
Publication title -
arthritis care and research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.032
H-Index - 163
eISSN - 2151-4658
pISSN - 2151-464X
DOI - 10.1002/acr.23774
Subject(s) - femoroacetabular impingement , medicine , population , groin , physical therapy , demography , orthodontics , surgery , sociology , environmental health
Objective Radiographic measurements of the alpha angle and the lateral center edge ( LCE ) angle in the hip joint are important for the diagnosis of femoroacetabular syndrome, a potential risk factor for hip osteoarthritis. Our objective was to determine whether these measurements are associated with hip‐related patient‐reported outcomes in young and middle‐aged individuals. Methods A stratified random sample of white men and women ages 20–49 years, with and without hip pain, was selected using random digit dialing from the population of metro Vancouver, Canada. The alpha and LCE angles were measured bilaterally on radiographs using Dunn and anteroposterior views, respectively. Patient‐reported outcomes were measured by the Copenhagen Hip And Groin Outcome Score ( HAGOS ), which has scales for symptoms, pain, daily activities, sports, physical activity, and quality of life (QoL). We performed descriptive analyses and a regression analysis with restricted cubic splines, adjusted for age and sex and weighted for the sampling design. Results Data were obtained for 500 subjects. The alpha angle distribution was strongly skewed, with a mean of 54°. The LCE angle distribution was symmetric, with a mean of 34°. In the restricted cubic splines analysis, the relationship between the alpha angle and HAGOS scores was nonlinear, with higher alpha angles generally associated with worse HAGOS scores for alpha >60°. The associations were statistically significant for symptoms, sports, and QoL. No association was found between the LCE angle and HAGOS scales. Conclusion In a general population sample ages 20–49 years, we have found an association between the alpha angle and hip‐related patient‐reported outcomes.