Comparison of the history and physical examination for hip osteoarthritis and lumbar spinal stenosis

Rainville, James; Bono, James V.; Laxer, Eric B.; Kim, David H.; Lavelle, John M.; Indahl, Aage; Borenstein, David G.; Haig, Andrew J.; Katz, Jeffrey N.

doi:10.1016/j.spinee.2019.01.006

Cited by 16 publications

(14 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A relationship between hip OA and LSS is proposed in the hip-spine syndrome literature [ 14 , 19 , 46 ] and previous studies have suggested spinal OA/LSS be considered in multi-joint OA definitions [ 6 , 8 ]. However, our findings may also be explained by the symptomatic overlap in hip OA and LSS [ 11 – 13 ] or via widespread pain or central sensitization mechanism in people with OA [ 47 ]. Our findings of a consistent association between comorbid LSS symptoms and longer symptom durations in people with knee or hip OA (> 24 months) might support the hypothesis that widespread pain has developed and is partially responsible for the observed association between hip or knee OA and LSS symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…A recent meta-analysis of co-occurring prevalence estimates found that symptomatic LSS occurs in up to 25% of people of with symptomatic knee OA and in up to 35% of people with symptomatic hip OA [ 10 ]. However, no included study investigated if people with co-occurring LSS and knee or hip OA have a different clinical presentation than those with these conditions in isolation, despite considerable overlap in the clinical presentations of LSS and knee and hip OA [ 11 – 14 ]. Since previous studies have shown comorbid LSS and other degenerative disorders of the lumbar spine affect OA treatment outcomes [ 15 – 21 ], a better understanding of the clinical presentation for co-occurring LSS with knee or hip OA can help inform clinical reasoning and shared-decision making when selecting management strategies, including potential prognostic significance.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Characteristics associated with comorbid lumbar spinal stenosis symptoms in people with knee or hip osteoarthritis: an analysis of 9,136 good life with osteoArthritis in Denmark (GLA:D®) participants

Young

Kongsted

Jensen

et al. 2023

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Previous studies have found that lumbar spinal stenosis (LSS) often co-occurs with knee or hip OA and can impact treatment response. However, it is unclear what participant characteristics may be helpful in identifying individuals with these co-occurring conditions. The aim of this cross-sectional study was to explore characteristics associated with comorbid symptoms of lumbar spinal stenosis (LSS) in people with knee or hip osteoarthritis (OA) enrolled in a primary care education and exercise program. Methods Sociodemographic, clinical characteristics, health status measures, and a self-report questionnaire on the presence of LSS symptoms was collected at baseline from the Good Life with osteoArthritis in Denmark primary care program for knee and hip OA. Cross-sectional associations between characteristics and the presence of comorbid LSS symptoms were assessed separately in participants with primary complaint of knee and hip OA, using domain-specific logistic models and a logistic model including all characteristics. Results A total of 6,541 participants with a primary complaint of knee OA and 2,595 participants with a primary complaint of hip OA were included, of which 40% and 50% reported comorbid LSS symptoms, respectively. LSS symptoms were associated with similar characteristics in knee and hip OA. Sick leave was the only sociodemographic variable consistently associated with LSS symptoms. For clinical characteristics, back pain, longer symptom duration and bilateral or comorbid knee or hip symptoms were also consistently associated. Health status measures were not consistently related to LSS symptoms. Conclusion Comorbid LSS symptoms in people with knee or hip OA undergoing a primary care treatment program of group-based education and exercise were common and associated with a similar set of characteristics. These characteristics may help to identify people with co-occurring LSS and knee or hip OA, which can be used to help guide clinical decision-making.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Characteristics associated with comorbid lumbar spinal stenosis symptoms in people with knee or hip osteoarthritis: an analysis of 9,136 good life with osteoArthritis in Denmark (GLA:D®) participants

Young

Kongsted

Jensen

et al. 2023

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…The pain may be nociceptive, neuropathic, or mixed 8 and other comorbidity such as diabetes neuropathy and other coexisting degenerative conditions of the hip and knee may present similarly. 20 - 22 Patients evaluated and operated for LSS usually have back pain and radiculopathy but the symptoms may be heterogenous and back pain and radiculopathy may have many different etiologies. 5 , 7 , 9 , 14 , 22 Both neuropathic and nociceptive pain pathways may contribute to low back pain and the associated leg pain.…”

Section: Discussionmentioning

confidence: 99%

Surgery for Lumbar Spinal Stenosis in Patients With Mild Leg Pain Levels Is Associated With Unsatisfactory Outcome

Sigmundsson

Møller

Strömqvist

2020

Global Spine Journal

View full text Add to dashboard Cite

Study Design: Prospective register cohort study. Objectives: The indication for surgery in patients with lumbar spinal stenosis (LSS) is considered to be leg pain and neurogenic claudication (NC). Nevertheless, a significant part of patients operated for LSS have mild leg pain levels defined as leg pain ≤minimally important clinical difference (MICD). Information is lacking on how to inform these patients about the probable outcome of surgery. The objective was to report the outcome of surgery for LSS in patients with a mild preoperative level of leg pain. Methods: A total of 2559 patients operated upon for LSS with preoperative leg pain ≤3 NRS (Numerical Rating Scale) were evaluated for outcome at the 1-year follow-up. NRS for back pain, the Oswestry Disability Index (ODI), and the EuroQol (EQ-5D) were used. Results: In the period 2007 to 2017, we identified 3239 patients (14%) who had mild leg pain (≤3 on the NRS). In this cohort, leg pain increased 0.40 (0.56-0.37) and back pain decreased 1.0 (0.95-1.2) at the 1-year follow up. ODI decreased 11.1 (10.2-11.4) and the EQ-5D increased 0.15 (0.17-0.14). A total of 31% reached successful outcome in terms of back pain, 43% in terms of ODI and 48% in terms of EQ-5D. 63% of the patients were satisfied with the outcome. Conclusion: A minority of patients with mild leg pain levels operated upon for LSS attain MICD for back pain, ODI, and EQ-5D. The results from this study can aid the surgeon in the shared decision-making process before surgery.

show abstract

“…7(1).2020 cemented arthroplasty has higher cost rate and the manufacturer may have a role to play with the surgeons [10]. However the benefits of arthroplasty either cemented or noncemented may not be overlooked for the management of osteoarthritis of the hip; either primary or secondary osteoarthritis [5]. The objective of this study is to evaluate the early results of total hip arthroplasty in osteoarthritis of the hip.…”

Section: Ortho Res Online Jmentioning

confidence: 99%

“…Fracture of acetabulam also was a big challenge for the surgeon as it may develop osteoarthritis or may developed osteonecrosis of the head of the femur [5]. Hip dysplasia in young adults has deformed hip joint with dislocation [5]. The only solution for all such conditions is joint replacement.…”

Section: Introductionmentioning

confidence: 99%

Early Results of Total Hip Arthroplasty in Osteoarthritis of Hip

Inam¹,

Ali²,

Shabir

et al. 2020

OPROJ

View full text Add to dashboard Cite

Objective: The objective of this study is to evaluate the early results of total hip arthroplasty in osteoarthritis of the hip. Material and Method:This case series study was conducted in the Department of Orthopedic and Trauma, Medical Teaching Institute Lady Reading Hospital Peshawar from March 2017 to February 2018 on 39 consecutive patient of age 55 and above with primary osteoarthritis of the hip. In all these patient cemented arthroplasty of Surgival manufacturer was done through direct lateral approach and patients were mobilized on first post operative day. Patients were followed up on three months, six months and one year duration.Results: A total of fifty four patients were included in the study but at final follow up only thirty nine has been seen. So we analyzed only those thirty nine patients for any complication. Out of thirty nine patients, 13(33.3%) were female and 26(66.7%) were male. Mean age of the patients were 63.05(Std. Deviation 4.359) with minimum 55 years and maximum 70 years. We have lost 15 patients to follow up. The remaining thirty nine has dislocation in 1(2.6%), peri prosthetic fracture in 1(2.6%) and infection in 2(5.1%) patients. Two (5.1%) patients has severe pain and 3(7.7%) were not satisfied post operatively. Conclusion:Total hip arthroplasty has best results in primary osteoarthritis of the hip in old age provided that the patient follows the post operative protocol for hip arthroplasty.

show abstract

Comparison of the history and physical examination for hip osteoarthritis and lumbar spinal stenosis

Cited by 16 publications

References 44 publications

Characteristics associated with comorbid lumbar spinal stenosis symptoms in people with knee or hip osteoarthritis: an analysis of 9,136 good life with osteoArthritis in Denmark (GLA:D®) participants

Characteristics associated with comorbid lumbar spinal stenosis symptoms in people with knee or hip osteoarthritis: an analysis of 9,136 good life with osteoArthritis in Denmark (GLA:D®) participants

Surgery for Lumbar Spinal Stenosis in Patients With Mild Leg Pain Levels Is Associated With Unsatisfactory Outcome

Early Results of Total Hip Arthroplasty in Osteoarthritis of Hip

Contact Info

Product

Resources

About