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Which hip morphology measures and patient factors are associated with age of onset and symptom severity in femoroacetabular impingement syndrome?
Murphy, Nicholas J; Diamond, Laura E; Bennell, Kim L; Burns, Alexander; Dickenson, Edward; Eyles, Jillian; Fary, Camdon; Grieve, Stuart M; Griffin, Damian R; Kim, Young Jo; Linklater, James M; Lloyd, David G; Molnar, Robert; O'Connell, Rachel L; O'Donnell, John; Randhawa, Sunny; J Singh, Parminder; Spiers, Libby; Tran, Phong; Wrigley, Tim; Hunter, David J.
Afiliación
  • Murphy NJ; Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, St Leonards, NSW, Australia.
  • Diamond LE; Department of Orthopaedic Surgery, John Hunter Hospital, Australia.
  • Bennell KL; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, School of Allied Health Sciences, Griffith University, Australia.
  • Burns A; Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Australia.
  • Dickenson E; Orthopaedics ACT, Canberra, Australia.
  • Eyles J; Warwick Medical School, University of Warwick, Coventry, UK and University Hospitals of Coventry and Warwickshire NHS Trust, Coventry, UK.
  • Fary C; Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, St Leonards, NSW, Australia.
  • Grieve SM; Department of Rheumatology, Royal North Shore Hospital, Australia.
  • Griffin DR; Department of Orthopaedic Surgery, Western Health, Melbourne, Australia.
  • Kim YJ; Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St Albans, Melbourne, Australia.
  • Linklater JM; Sydney Translational Imaging Laboratory, Charles Perkins Centre, University of Sydney, Camperdown, Australia.
  • Lloyd DG; Department of Radiology, Royal Prince Alfred Hospital, Camperdown, Australia.
  • Molnar R; Warwick Medical School, University of Warwick, Coventry, UK and University Hospitals of Coventry and Warwickshire NHS Trust, Coventry, UK.
  • O'Connell RL; Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, USA.
  • O'Donnell J; Department of Musculoskeletal Imaging, Castlereagh Sports Imaging Centre, St Leonards, Australia.
  • Randhawa S; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, School of Allied Health Sciences, Griffith University, Australia.
  • J Singh P; Sydney Orthopaedic Trauma and Reconstructive Surgery, Sydney, Australia.
  • Spiers L; Department of Rheumatology, Royal North Shore Hospital, Australia.
  • Tran P; NHMRC Clinical Trials Centre, University of Sydney, Camperdown, Australia.
  • Wrigley T; Hip Arthroscopy Australia, Richmond, Australia.
  • Hunter DJ; St Vincent's Private Hospital, East Melbourne, Australia.
Hip Int ; 33(1): 102-111, 2023 Jan.
Article en En | MEDLINE | ID: mdl-34424780
BACKGROUND: Bony morphology is central to the pathomechanism of femoroacetabular impingement syndrome (FAIS), however isolated radiographic measures poorly predict symptom onset and severity. More comprehensive morphology measurement considered together with patient factors may better predict symptom presentation. This study aimed to determine the morphological parameter(s) and patient factor(s) associated with symptom age of onset and severity in FAIS. METHODS: 99 participants (age 32.9 ± 10.5 years; body mass index (BMI 24.3 ± 3.1 kg/m2; 42% females) diagnosed with FAIS received standardised plain radiographs and magnetic resonance scans. Alpha angle in four radial planes (superior to anterior), acetabular version (AV), femoral torsion, lateral centre-edge, anterior centre-edge (ACEA) and femoral neck-shaft angles were measured. Age of symptom onset (age at presentation minus duration of symptoms), international Hip Outcome Tool-33 (iHOT-33) and modified UCLA activity scores were recorded. Backward stepwise regression assessed morphological parameters and patient factors (age, sex, BMI, symptom duration, annual income, private/public healthcare system accessed) to determine variables independently associated with onset age and iHOT-33 score. RESULTS: Earlier symptom onset was associated with larger superoanterior alpha angle (p = 0.007), smaller AV (p = 0.023), lower BMI (p = 0.010) and public healthcare system access (p = 0.041) (r2 = 0.320). Worse iHOT-33 score was associated with smaller ACEA (p = 0.034), female sex (p = 0.040), worse modified UCLA activity score (p = 0.010) and public healthcare system access (p < 0.001) (r2 = 0.340). CONCLUSIONS: Age of symptom onset was chiefly predicted by femoral and acetabular bony morphology measures, whereas symptom severity predominantly by patient factors. Factors measured explained a small amount of variance in the data; additional unmeasured factors may be more influential.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera / Pinzamiento Femoroacetabular Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Hip Int Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera / Pinzamiento Femoroacetabular Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Hip Int Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos