Labral Ossification and Sacroiliac Joint Disease: Could There Be a Link to an Autoimmune Etiology?
| Autor: | Kay S. Jones, Tania Ann Ferguson, Carl R. Freeman, J. W. Thomas Byrd |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
0301 basic medicine Adult Male medicine.medical_specialty Disease Severity of Illness Index Autoimmune Diseases 03 medical and health sciences Joint disease Arthroscopy Young Adult 0302 clinical medicine Osteogenesis Femoracetabular Impingement Prevalence Medicine Humans Orthopedics and Sports Medicine Femoroacetabular impingement Retrospective Studies 030203 arthritis & rheumatology Sacroiliac joint Hip medicine.diagnostic_test business.industry Ossification Magnetic resonance imaging Sacroiliac Joint Middle Aged medicine.disease Magnetic Resonance Imaging Surgery Radiography 030104 developmental biology medicine.anatomical_structure Case-Control Studies Etiology Female Hip Joint Hip arthroscopy medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 35(8) |
| ISSN: | 1526-3231 |
| Popis: | Purpose To determine the prevalence of ipsilateral sacroiliac (SI) joint disease among patients with symptomatic femoroacetabular impingement (FAI) associated with labral ossification (LO) who underwent hip arthroscopy compared with a matched control group of patients with symptomatic FAI and no LO. Methods Computed tomography (CT) scans of all patients undergoing arthroscopic correction of FAI were obtained. The inclusion criterion for the study group was a diagnosis of FAI with a secondary diagnosis of LO made by plain radiography, CT, or magnetic resonance imaging or made intraoperatively. The exclusion criterion was the absence of evidence of LO. We reviewed 52 patients (56 hips) with LO to assess the SI joint and compared them with a control group matched by age, sex, and FAI type. The SI joints were graded according to the modified New York criteria. Results CT scans were available for evaluation of the ipsilateral SI joint in 28 patients (29 hips) with LO: 17 women and 11 men with an average age of 44.6 years (range, 26-56 years). Of the hips, 23 had combined FAI and 6 had pincer-type FAI. The control group consisted of 29 hips, exactly matched for sex and FAI type, with an average age of 44.8 years (range, 21-58 years). Grade 3 SI joint abnormalities were significantly more prevalent in the LO group (28%) than in the control group (7%, P = .037), and grade 0 or 1 changes (relatively normal SI joints) were significantly less common in patients with LO (38%) than in controls (72%, P = .008). Subanalysis showed that 35% of the LO group aged 45 years or younger had ipsilateral grade 3 SI joint abnormalities compared with none of the control patients aged 45 years or younger (P = .041). Grade 3 changes were found in 42% of male patients with LO compared with 8% of male controls (P = .155). Grade 3 changes were noted in 18% of women in the LO group compared with 6% of female controls (P = .601). Conclusions Patients with symptomatic FAI and LO are more likely to show associated SI joint pathology than patients with FAI not involving LO. These differences are greatest among men and among patients aged 45 years or younger. Level of Evidence Level III, retrospective case-control study. |
| Databáze: | OpenAIRE |
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