Copyright © 2007 Massachusetts Medical Society. A 70-year-old man reports a gradual onset of hip pain that has limited his activities for about a year. The pain initially occurred only with walking and was limited to the anterior hip area but now has spread to the side of the hip and is present at rest. He has no history of injury to the hip, back, or lower back and has no pain or morning stiff...

In this paper we compare the prevalence of osteoarthritis (OA) of hip and knee joints on skeletons series and relations between them. OA was registered from 166 individuals of Neolithic and protohistorical periods. Between Neolithic and Iron Age periods the ratio [hip OA/ knee OA] increases with diminution of knee OA prevalence; the ratio [patello-femoral OA / tibio-femoral OA] rather tends to ...

n engl j med 358;5 www.nejm.org january 31, 2008 535 tion) over a treatment period of 5 weeks in patients with osteoarthritis of the hip. Initially, the manipulative therapy was more effective in reducing pain and increasing function, but it lost efficacy over time. Additional clinical studies are warranted to obtain information about the efficacy of manipulation therapy and to determine whethe...

OBJECTIVE To evaluate the prevalence of osteoporosis in patients awaiting total hip arthroplasty. METHOD Twenty-nine patients diagnosed with hip osteoarthritis awaiting primary total arthroplasty of the hip answered WOMAC questionnaire, VAS and questions about habits, osteoporosis and related diseases. Bone mineral densitometry of the lumbar spine and hips and laboratory tests (complete blood...

  Background: The prevalence of hip dysplasia is 1 in 1000. Several pelvic osteotomy methods have been developed to prevent early osteoarthritis, such as triple osteotomy. In this study we are going to introduce our new technique that was done on 4 patients with favorable short-term results.   Methods: Four patients underwent triple osteotomy and fixation using a reconstruction plate and early ...

Developmental dysplasia of the hip (DDH) or congenital hip dysplasia (CDH) is the most prevalent developmental childhood hip disorder. It includes a wide spectrum of hip abnormalities ranging from dysplasia to subluxation and complete dislocation of the hip joint. The natural history of neglected DDH in adults is highly variable. The mean age of onset of symptoms is 34.5 years for dysplastic DD...

We have determined the natural history of hip development in 42 patients with multiple epiphyseal dysplasia (MED). Premature osteoarthritis was a frequent outcome and was almost inevitable before the age of 30 years in those with incongruent hips. There were two types of immature hips: type I, the more severe form, had a fragmented and flattened ossific nucleus and acetabular dysplasia, was mis...

BACKGROUND In independent linkage studies chromosome 2q11-q24 and chromosome 2q23-35 have previously been implicated as regions potentially harbouring susceptibility loci for osteoarthritis (OA). OBJECTIVE To test chromosome 2q for linkage to idiopathic osteoarthritis. METHODS Using a cohort of 481 OA families that each contained at least one affected sibling pair with severe end-stage dise...

BACKGROUND Acetabular labral tear is a main cause of hip pain and disability, often requiring surgical treatment. Improvements of hip arthroscopic technique have produced positive outcomes after labral repair with arthroscopy. The purpose of this study was to determine clinical outcomes and patient satisfaction after arthroscopic repair of acetabular labral tear. METHODS We interviewed 21 pat...