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3 results

  • Chapter 21 - Osteoarthritic Hip Pain

  • from Part V - Extremities
  • Edited by Omar Viswanath, Creighton University, Omaha, Ivan Urits, Southcoast Brain & Spine Center, Wareham
  • Book:
    Cambridge Handbook of Pain Medicine
    Published online:
    01 December 2023
    Print publication:
    14 December 2023, pp 164-172

  • Summary

    Osteoarthritis (OA) of the hip is a common source of pain and disability associated with aging. Radiographic evidence of hip OA is present in approximately 24.7% of males and 13.6% of females over 50 years old, with symptoms seen in 5.2% of males and 3.0% of females. “Wear and tear” damage to hip joint leading to dysfunctional ECM reorganization leads to chronic onset of pain that is worse with use and associated with decreased hip mobility. Years of conservative treatment with exercise, weight loss, and oral anti-inflammatories can mitigate the disease progression, but severe cases may require intraarticular injections or hip arthroplasty. Some promising injections hope to better manage chronic symptoms by reversing the course of the disease; however, total hip arthroplasty remains a gold standard treatment of severe hip OA.

  • Avulsion fracture of the lesser trochanter: an unusual cause of hip pain in an adolescent

  • Eugenio Vazquez, Tommy Y. Kim, Timothy P. Young
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 15 / Issue 2 / March 2012
    Published online by Cambridge University Press:
    04 March 2015, pp. 124-126
    Print publication:
    March 2012
    • Article
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  • Sports injuries involving the hip and groin are common. Special consideration must be given to musculoskeletal injuries in children and adolescents as their immature skeletons have growth plates that are relatively weaker than the tendons and ossified bone to which they connect. We present a case of an adolescent athlete with acute-onset groin pain who was found to have an avulsion fracture of the lesser trochanter.

  • Overweight and health problems of the lower extremities: osteoarthritis, pain and disability

  • A Tukker, TLS Visscher, HSJ Picavet
  • Journal:
    Public Health Nutrition / Volume 12 / Issue 3 / March 2009
    Published online by Cambridge University Press:
    22 April 2008, pp. 359-368
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  • Aim

    To examine the association between overweight and health problems of the lower extremities, i.e. osteoarthritis (OA), pain and disability.

    Methods

    Cross-sectional data from the Dutch population-based Musculoskeletal Conditions & Consequences Cohort (DMC3), comprising a random sample from the Dutch population aged >25 years (n 3664), were analysed using multivariate logistic regression. Overweight was defined as BMI ≥ 25·0 kg/m2, moderate overweight as 25·0 kg/m2 ≤ BMI < 30·0 kg/m2 and obesity as BMI ≥ 30·0 kg/m2. Health problems of the lower extremities were: (i) self-reported OA of the hip or knee as told by a doctor; (ii) presence of self-reported chronic pain (>3 months) of the lower extremities; and (iii) disabilities in mobility as measured by the Euroqol questionnaire (EQ-5D).

    Results

    Moderate overweight was associated with self-reported OA of the hip or knee (OR = 1·7; 95 % CI 1·4, 2·1), chronic pain of the lower extremities at one or more location(s) (OR = 1·6; 95 % CI 1·3, 1·9) and disability in mobility (OR = 1.7; 95 % CI 1·4, 2·0). For obesity these odds were higher: 2·8 (95 % CI 2·1, 3·7), 2·5 (95 % CI 1·9, 3·2) and 3·0 (95 % CI 2·3, 3·9), respectively. Also, among those with OA, moderate overweight and obesity were associated with disability in mobility.

    Conclusion

    There is a strong association between overweight/obesity and health problems of the lower extremities, i.e. OA, pain and disability. The increasing prevalence of overweight and obesity worldwide urges for public health action not only for diabetes and heart disease, but also OA.