What question did this study set out to answer?

To challenge the traditional distinction between primary and secondary osteoarthritis by evaluating whether hip osteoarthritis is consistently secondary to underlying structural joint abnormalities.

May 1, 1976Journal of Bone and Joint Surgery - British Volume

Patterns of osteoarthritis of the hip

View Full Paper

Ask AI

Bookmark

Authors

LSLucian B. SolomonThe University of Adelaide

Discussion

Member takes

Implication

Clinical and morbid anatomical study reveals structural joint defects in hip osteoarthritis cases, suggesting that osteoarthritis is almost always secondary to predisposing abnormalities.

Key Points

To challenge the traditional distinction between primary and secondary osteoarthritis by evaluating whether hip osteoarthritis is consistently secondary to underlying structural joint abnormalities.
Conducted a detailed clinical, radiographic, and morbid anatomical investigation of 327 cases of hip osteoarthritis.
Identified a predisposing joint abnormality in 300 of the 327 cases (91.7%), leaving only 27 cases without a detectable underlying defect.
Diagnosed major preexisting pathology (such as Perthes' disease or epiphysiolysis) in 107 cases (33%), minor acetabular dysplasia in 67 cases (20%; male-to-female ratio 1:10), minimal femoral head tilt in 59 cases (18%; male-to-female ratio 14:1), and features indicative of inflammatory arthritis in 43 cases (13%).
Proposed a pathogenetic framework dividing hip osteoarthritis into three mechanisms: normal cartilage failing under abnormal loading, defective cartilage failing under normal loading, and cartilage breakdown due to defective subchondral bone.

Cite This Study

Lucian B. Solomon (1976) studied this question.

synapsesocial.com/papers/69ffd904831589f3542dabd2 https://doi.org/10.1302/0301-620x.58b2.932079

View Full Paper

Ask AI

Bookmark

Implication

Clinical and morbid anatomical study reveals structural joint defects in hip osteoarthritis cases, suggesting that osteoarthritis is almost always secondary to predisposing abnormalities.

Patterns of osteoarthritis of the hip

Discussion

Member takes

Implication

Key Points

Cite This Study

Patterns of osteoarthritis of the hip

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider