Preventing hip osteoarthritis in athletes: is it really a mission impossible?

Heerey, Joshua J; van Klij, Pim; Agricola, Rintje; Dijkstra, Hendrik P; Plass, Lindsey; Crossley, Kay M; Kemp, Joanne L

doi:10.1136/bjsports-2023-107584

Br J Sports Med

2024

DOI: 10.1136/bjsports-2023-107584

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Preventing hip osteoarthritis in athletes: is it really a mission impossible?

Joshua J Heerey,

Pim van Klij,

Rintje Agricola

et al.

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2024

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Cited by 3 publications

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Are hip joint imaging findings associated with symptoms and early hip osteoarthritis features in elite male Australian Football League draftees?

Heerey,

Kemp,

Rotstein

et al. 2024

Science and Medicine in Football

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Are hip joint imaging findings associated with symptoms and early hip osteoarthritis features in elite male Australian Football League draftees?

Heerey,

Kemp,

Rotstein

et al. 2024

Science and Medicine in Football

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Femoroacetabular impingement syndrome in middle-aged individuals is strongly associated with the development of hip osteoarthritis within 10-year follow-up: a prospective cohort study (CHECK)

Agricola,

van Buuren,

Kemp

et al. 2024

Br J Sports Med

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ObjectiveThe objective is to determine the association and absolute risk of femoroacetabular impingement syndrome (FAIS) for the development of radiographic hip osteoarthritis (RHOA).MethodsThis is a nationwide, multicentre prospective cohort study (Cohort Hip and Cohort Knee) with 1002 individuals aged between 45 and 65 years. Hips without definitive RHOA (Kellgren-Lawrence (KL) grade≤1) at baseline and with anteroposterior pelvic radiographs at baseline and 10-year follow-up available (n=1386 hips) were included. FAIS was defined by the baseline presence of a painful hip, limited internal hip rotation≤25° and cam morphology defined by an alpha angle>60°. The outcomes were incident RHOA (KL grade≥2 or total hip replacement (THR)) and incident end-stage RHOA (KL≥3 or THR) within 10 years.ResultsOf the 1386 included hips (80% women; mean age 55.7±5.2 years), 21 hips fulfilled criteria for FAIS and 563 hips did not fulfil any of the FAIS criteria (reference group; no symptoms, no signs, no cam morphology). Within 10-year follow-up, 221 hips (38%) developed incident RHOA and 15 hips (3%) developed end-stage RHOA (including 9 hips with THR). Adjusted for sex, age and body mass index, FAIS with cam morphology resulted in an OR of 6.85 (95% CI 2.10 to 22.35) for incident RHOA and 47.82 (95% CI 12.51 to 182.76) for incident end-stage RHOA, compared with hips not having any FAIS criteria. The absolute risk of FAIS was 81% for incident RHOA and 33% for incident end-stage RHOA.ConclusionFAIS was strongly associated with the development of RHOA within 10 years. Although the baseline prevalence of FAIS was low, the high absolute risk of FAIS for RHOA warrants further studies to determine preventive strategies.

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Mission impossible—maybe not? Preventing hip osteoarthritis in athletes

Terrell,

Lynch

2024

Br J Sports Med

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Preventing hip osteoarthritis in athletes: is it really a mission impossible?

Cited by 3 publications

References 10 publications

Are hip joint imaging findings associated with symptoms and early hip osteoarthritis features in elite male Australian Football League draftees?

Are hip joint imaging findings associated with symptoms and early hip osteoarthritis features in elite male Australian Football League draftees?

Femoroacetabular impingement syndrome in middle-aged individuals is strongly associated with the development of hip osteoarthritis within 10-year follow-up: a prospective cohort study (CHECK)

Mission impossible—maybe not? Preventing hip osteoarthritis in athletes

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