OA

Hip Osteoarthritis

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Hip Osteoarthritis, Degenerative Joint Disease of the Hip, Hip DJD, Hip Arthritis, Femoroacetabular Joint Osteoarthritis

  • Epidemiology
  1. Most common cause of Anterior Hip Pain in older adults
  • Symptoms
  1. See Hip Pain
  2. Gradual onset of pain with or without history of hip Trauma
  3. Pain with prolonged sitting or prolonged ambulation
  • Signs
  1. Pain worse with Hip Range of Motion (hip flexion, hip rotation)
  2. Decreased Hip Range of Motion
  • Differential Diagnosis
  • Imaging
  1. See Hip XRay in Osteoarthritis
  2. Standing Anteroposterior Pelvis XRay (first-line study)
    1. Degree of osteophytes and joint space narrowing does not correlate with symptom severity
  • Complications
  1. High morbidity (pain, significant functional limitations in ADLs)
  2. Deconditioning with decreased Physical Activity