The importance of hip shape in predicting hip osteoarthritis.
The importance of hip shape in predicting hip osteoarthritis.
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DOI：
10.1007/s40674-018-0096-0
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发表时间：
2018-06-01
影响因子：
1.2
通讯作者：
Nelson, Amanda E
中科院分区：
文献类型：
--
作者：
Nelson, Amanda E
审查目的：这种叙述性综述总结了有关髋关节的形状和风险骨关节炎的证据在hipe.Recent调查结果：髋关节骨性关节炎是一种流行的和潜在的致残性疾病，很少有有效的非手术治疗方案。髋关节OA的风险因素似乎与其他部位的风险因素有所不同。髋关节形态的变化，无论是通过标准的几何测量或统计建模方法进行评估，似乎增加髋关节OA的风险，并可能提供一种新的方法来干预，以减少或预防OA。这种变化也导致了集中的手术干预，以“纠正”异常形状，虽然与非手术管理的比较是lacked.SUMMARY：仍然缺乏了解的最佳管理，无论是手术，非手术，或组合，FAI综合征。关于其他可能导致OA风险的潜在形态学变异，我们所知更少。此外，许多具有形状变化的人似乎会增加他们的风险，他们永远不会发展髋关节OA。关于髋关节OA发展的关键风险因素，哪些个体应该成为治疗的目标，无论是针对症状，功能还是预防，以及应该研究和提供哪些治疗方法，仍然存在问题。目前正在进行试验，以帮助解决其中的一些问题。
PURPOSE OF REVIEW: This narrative review summarizes the evidence relating hip shape and risk of osteoarthritis at the hip, with a focus on the most recent body of work.RECENT FINDINGS: Hip OA is a prevalent and potentially disabling condition with few effective non-surgical treatment options. Risk factors for hip OA appear to differ somewhat from those at other sites. Variations in hip morphology, whether assessed through standard geometric measures or statistical modeling methods, seem to increase hip OA risk and may provide a novel approach to interventions to reduce or prevent OA. Such variations have also led to focused surgical interventions to "correct" abnormal shape, although comparisons with non-surgical management are lacking.SUMMARY: There remains a lack of understanding regarding the optimal management, whether surgical, non-surgical, or a combination, for FAI syndrome. Even less is known regarding other potential morphologic variations that may contribute to OA risk. Additionally, many individuals who have shape variations that would seem to increase their risk will never develop hip OA. Questions remain regarding key risk factors for hip OA development, which individuals should be targeted for therapies, whether directed at symptoms, function, or prevention, and which therapies should be studied and offered. Trials are underway to help address some of these questions.