The relationship between radiographic findings and patient-reported outcomes in adult hip dysplasia patients: A hospital cross-sectional study
| Autor: | Taiki Kusano, Taisuke Seki, Yusuke Osawa, Naoki Ishiguro, Yasuhiko Takegami |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Adolescent Cross-sectional study Radiography Young Adult 03 medical and health sciences 0302 clinical medicine Linear regression Deformity Humans Medicine Orthopedics and Sports Medicine Patient Reported Outcome Measures Young adult Aged Pain Measurement Orthodontics Hip dysplasia 030222 orthopedics business.industry Regression analysis Middle Aged medicine.disease Hospitals Cross-Sectional Studies Developmental Dysplasia of the Hip Female Surgery medicine.symptom business Body mass index 030217 neurology & neurosurgery |
| Zdroj: | Journal of Orthopaedic Science. 25:606-611 |
| ISSN: | 0949-2658 |
| DOI: | 10.1016/j.jos.2019.09.007 |
| Popis: | Introduction This study aimed to clarify the relationship of individual radiographic parameters and features with the patient-reported outcome measurements (PROMs) of patients with developmental dysplasia of the hip (DDH) in a hospital-referred cross-sectional analysis. Methods This cross-sectional study included 108 Japanese DDH patients (female, n = 88; male, n = 20; mean age, 43.4 years). We recorded the CE angle, angle of Sharp, ARO, ADR, AHI, crossover sign, pistol grip deformity, and femoral head-neck ratio, which were measured on the AP view, and the α-angle, which was measured on the Lauenstein view. We also recorded cyst formation and osteophytes on either view. We used the Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) to assess the PROMs. The PROMs of patients with and without cysts or osteophytes and those of patients with or without cam or pincer deformity were compared. The relationships between specific PROMs and radiographic features were evaluated with a linear regression analysis and independent associations between PROMs and radiographic features were assessed with a multiple regression analysis using various independent variables. Results The JHEQ movement and mental values in patients with cyst formation were significantly lower in comparison to those in patients without cyst formation. The JHEQ subscale values did not differ according to the presence or absence of osteophytes, cam deformity or pincer deformity. The CE angle was found to be associated with the JHEQ movement score in the linear regression analysis. To identify radiographic features that were independently associated with each of the JHEQ subscale scores, we performed a multiple regression analysis with age, body mass index, sex and the number of affected hip joints (bilateral or unilateral) included as independent variables. The CE angle was found to be independently associated with JHEQ movement. Conclusion The CE angle was independently associated with the JHEQ movement value. |
| Databáze: | OpenAIRE |
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