Osteoarthritis of the Hip: A Study of the Nature and Evolution of the Disease

Abstract

This material, analysed in Table I, showed all variations from that of normal health to advanced osteoarthritis. 2) Forty-five femoral heads removed at operation from osteoarthritic hips. 3) Radiographs obtained from eighty selected patients suffering from osteoarthritis of the hip in whom it was possible to follow the progress of the disease over several years. FiG. 1 Sketch of tile right hip bone showing the extent of the articular cartilage and the acetabtilar fossa.

Staphylococcus suppurative arthritis occurring in neuropathic knee joints a report of four cases with a discussion of the mechanisms involved

“…20 Recently there has been demonstrated a marked increase of the vascular tree in the heads of osteoarthritic femurs and in the subchondral areas of degenerative knee joints. 21,22 It is fair to assume that this also happens in a neuropathic joint which is merely a gross extension and distortion of an osteoarthritic process. 23 An angiogram in an uncomplicated case of Charcot's knee confirmed this surmise.…”

“…A patient was admitted for the first time to the Sherbrooke Hospital, P.Q., on September 21, 1953 in his sixty-eighth year because he had observed pain and swelling in the The next admission occurred on December 16, 1955 because of recurrence of pain and s~velling in the right knee. On aspiration about 15 cc of straw-coloured fluid was removed and hydrocortisone instilled.…”

Epidemiology and Biomechanics of Osteoarthritis

“…An alternative approach to assessment of contact areas is supported by analysis of femoral trabecularization patterns. X-ray examination reveals that these trabecular "rays" pass through the femoral neck toward the anteriosuperior and posterosuperior regions of the femoral head (identifying the areas of contact) (Harrison et al, 1953;Trueta, 1968). Although the acetabulum and femoral head appear to be spherical in outline with congruent surfaces, cross-sectional examination of hip joints reveals subtle incongruencies (Day et al, 1975;Greenwald & O'Connor, 1971;Kempson et al, 1971).…”

The role of osteophytic growth in hip osteoarthritis

“…Femoral-head osteophytes in coxarthrosis are mainly seen on the mediodorsal surface from the rim of the femoral neck and up to and sometimes including fovea capitis [13,15,17,18]. These are known as medial epiarticular osteophytes.…”

“…Frequently, osteophytes also occur in the acetabulum or around the fovea centralis on caput femoris. Accordingly, osteophytes are located at areas of low joint stress rather than at the joint surface where the cartilage is depleted [13,15,17,18]. As a result, decreased range of motion with regard to rotation and abduction develops in coxarthrosis.…”