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Chapter 21 - Osteoarthritic Hip Pain

from Part V - Extremities

Published online by Cambridge University Press:  01 December 2023

Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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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.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

Jordan, JM, Helmick, CG, Renner, JB et al. Prevalence of hip symptoms and radiographic and symptomatic hip osteoarthritis in African Americans and Caucasians: The Johnston County osteoarthritis project. J Rheumatol. 2009;36(4):809815.CrossRefGoogle ScholarPubMed
Long, H, Liu, Q, Yin, H, et al. Prevalence trends of site-specific osteoarthritis from 1990 to 2019: Findings from the global burden of disease study 2019. Arthritis Rheumatol. 2022;74(7):11721183. doi: 10.1002/art.42089.CrossRefGoogle ScholarPubMed
Johnson, VL, Hunter, DJ. The epidemiology of osteoarthritis. Best Pract Res Clin Rheumatol. 2014;28(1):515.CrossRefGoogle ScholarPubMed
Loeser, RF. The role of aging in the development of osteoarthritis. Trans Am Clin Climatol Assoc. 2017;128:4454.Google ScholarPubMed
Katz, JN, Arant, KR, Loeser, RF. Diagnosis and treatment of hip and knee osteoarthritis: A review. JAMA. 2021;325(6):568578.CrossRefGoogle ScholarPubMed
Kim, C, Linsenmeyer, KD, Vlad, SC et al. Prevalence of radiographic and symptomatic hip osteoarthritis in an urban United States community: The Framingham osteoarthritis study. Arthritis Rheumatol. 2014;66(11):30133017.CrossRefGoogle Scholar
Spector, TD, MacGregor, AJ. Risk factors for osteoarthritis: Genetics. Osteoarthritis Cartilage. 2004;12(Suppl A):S39S44.CrossRefGoogle ScholarPubMed
Chen, D, Shen, J, Zhao, W et al. Osteoarthritis: Toward a comprehensive understanding of pathological mechanism. Bone Res. 2017;5:16044. doi: 10.1038/boneres.2016.44.CrossRefGoogle Scholar
Urits, I, Orhurhu, V, Powell, J et al. Minimally invasive therapies for osteoarthritic hip pain: A comprehensive review. Curr Pain Headache Rep. 2020;24(7):37. doi: 10.1007/s11916-020-00874-8.CrossRefGoogle ScholarPubMed
Bannuru, RR, Osani, MC, Vaysbrot, EE et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage. 2019;27(11):15781589.CrossRefGoogle ScholarPubMed
Robson, EK, Hodder, RK, Kamper, SJ et al. Effectiveness of weight-loss interventions for reducing pain and disability in people with common musculoskeletal disorders: A systematic review with meta-analysis. J Orthop Sports Phys Ther. 2020;50(6):319333.CrossRefGoogle ScholarPubMed
Daugaard, CL, Hangaard, S, Bartels, EM et al. The effects of weight loss on imaging outcomes in osteoarthritis of the hip or knee in people who are overweight or obese: A systematic review. Osteoarthritis Cartilage. 2020;28(1):1021.CrossRefGoogle ScholarPubMed
Gill, RS, Al-Adra, DP, Shi, X et al. The benefits of bariatric surgery in obese patients with hip and knee osteoarthritis: A systematic review. Obes Rev. 2011;12(12):10831089.CrossRefGoogle ScholarPubMed
Hurley, M, Dickson, K, Hallett, R et al. Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: A mixed methods review. Cochrane Database Syst Rev. 2018;4(4):CD010842.Google ScholarPubMed
Bartels, EM, Juhl, CB, Christensen, R et al. Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database Syst Rev. 2016;3:CD005523.Google ScholarPubMed
Fransen, M, McConnell, S, Hernandez-Molina, G, Reichenbach, S. Exercise for osteoarthritis of the hip. Cochrane Database Syst Rev. 2014;(4):CD007912. doi: 10.1002/14651858.CD007912.pub2.Google ScholarPubMed
Puljak, L, Marin, A, Vrdoljak, D et al. Celecoxib for osteoarthritis. Cochrane Database Syst Rev. 2017;5(5):CD009865.Google ScholarPubMed
Towheed, TE, Maxwell, L, Judd, MG et al. Acetaminophen for osteoarthritis. Cochrane Database Syst Rev. 2006;(1):CD004257. doi: 10.1002/14651858.CD004257.pub2.Google ScholarPubMed
Toupin April, K, Bisaillon, J, Welch, V et al. Tramadol for osteoarthritis. Cochrane Database Syst Rev. 2019;5(5):CD005522.Google ScholarPubMed
da Costa, BR, Nüesch, E, Kasteler, R et al. Oral or transdermal opioids for osteoarthritis of the knee or hip. Cochrane Database Syst Rev. 2014;(9):CD003115. doi: 10.1002/14651858.CD003115.pub4.Google ScholarPubMed
Towheed, TE, Maxwell, L, Anastassiades, TP et al. Glucosamine therapy for treating osteoarthritis. Cochrane Database Syst Rev. 2005;(2):CD002946. doi: 10.1002/14651858.CD002946.pub2.Google ScholarPubMed
Singh, JA, Noorbaloochi, S, MacDonald, R, Maxwell, LJ. Chondroitin for osteoarthritis. Cochrane Database Syst Rev. 2015;1:CD005614.Google ScholarPubMed
Zhong, HM, Zhao, GF, Lin, T et al. Intra-articular steroid injection for patients with hip osteoarthritis: A systematic review and meta-analysis. Biomed Res Int. 2020;2020:6320154. doi: 10.1155/2020/6320154.CrossRefGoogle ScholarPubMed
McCabe, PS, Maricar, N, Parkes, MJ, Felson, DT, O’Neill, TW. The efficacy of intra-articular steroids in hip osteoarthritis: A systematic review. Osteoarthritis Cartilage. 2016;24(9):15091517.CrossRefGoogle ScholarPubMed
Kanthawang, T, Lee, A, Baal, JD et al. Predicting outcomes in patients undergoing intra-articular corticosteroid hip injections. Skeletal Radiol. 2021;50(7):13471357.CrossRefGoogle ScholarPubMed
Kruse, DW. Intraarticular cortisone injection for osteoarthritis of the hip. Is it effective? Is it safe? Curr Rev Musculoskelet Med. 2008;1(3–4):227233.CrossRefGoogle ScholarPubMed
Ravi, B, Escott, BG, Wasserstein, D et al. Intraarticular hip injection and early revision surgery following total hip arthroplasty: A retrospective cohort study. Arthritis Rheumatol. 2015;67(1):162168.CrossRefGoogle ScholarPubMed
Schairer, WW, Nwachukwu, BU, Mayman, DJ, Lyman, S, Jerabek, SA. Preoperative hip injections increase the rate of periprosthetic infection after total hip arthroplasty. J Arthroplasty. 2016;31(Suppl 9):166169.CrossRefGoogle ScholarPubMed
Chambers, AW, Lacy, KW, Liow, MHL et al. Multiple hip intra-articular steroid injections increase risk of periprosthetic joint infection compared with single injections. J Arthroplast. 2017;32(6):19801983.CrossRefGoogle ScholarPubMed
Ebad Ali, SM, Farooqui, SF, Sahito, B et al. Clinical outcomes of intra-articular high molecular weight hyaluronic acid injection for hip osteoarthritis: A systematic review and meta-analysis. J Ayub Med Coll Abbottabad. 2021;33(2):315321.Google ScholarPubMed
Gazendam, A, Ekhtiari, S, Bozzo, A, Phillips, M, Bhandari, M. Intra-articular saline injection is as effective as corticosteroids, platelet-rich plasma and hyaluronic acid for hip osteoarthritis pain: A systematic review and network meta-analysis of randomised controlled trials. Br J Sports Med. 2021;55(5):256261.CrossRefGoogle Scholar
Belk, JW, Houck, DA, Littlefield, CP et al. Platelet-rich plasma versus hyaluronic acid for hip osteoarthritis yields similarly beneficial short-term clinical outcomes: A systematic review and meta-analysis of level I and II randomized controlled trials. Arthroscopy. 2022;38(6):20352046.CrossRefGoogle Scholar
Vilabril, F, Rocha-Melo, J, Gonçalves, JV, Vilaça-Costa, J, Brito, I. Hip osteoarthritis treatment with intra-articular injections: Hyaluronic acid versus glucocorticoid: A systematic review. Acta Reumatol Port. 2020;45(2):127136.Google ScholarPubMed
Mardones, R, Jofré, CM, Tobar, L, Minguell, JJ. Mesenchymal stem cell therapy in the treatment of hip osteoarthritis. J Hip Preserv Surg. 2017;4(2):159163.CrossRefGoogle ScholarPubMed
McIntyre, JA, Jones, IA, Han, B, Vangsness, CT. Intra-articular Mesenchymal stem cell therapy for the human joint: A systematic review. Am J Sports Med. 2018;46(14):35503563.CrossRefGoogle ScholarPubMed
Rodriguez-Fontan, F, Piuzzi, NS, Kraeutler, MJ, Pascual-Garrido, C. Early clinical outcomes of intra-articular injections of bone marrow aspirate concentrate for the treatment of early osteoarthritis of the hip and knee: A cohort study. PM&R. 2018;10(12):13531359.Google ScholarPubMed
Darrow, M, Shaw, B, Darrow, B, Wisz, S. Short-term outcomes of treatment of hip osteoarthritis with 4 bone marrow concentrate injections: A case series. Clin Med Insights Case Rep. 2018;11:14.CrossRefGoogle ScholarPubMed

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