Hip chondropathy at arthroscopy: prevalence and relationship to labral pathology, femoroacetabular impingement and patient-reported outcomes
Hip osteoarthritis (OA) is not a pathology restricted to elderly demographics, with recent studies highlighting it may affect approximately 31% aged less than 55 years. There is considerable scope to improve our knowledge of the impact of early-onset hip OA. This study aimed to establish the prevalence of chondropathy (considered a marker of early-onset hip OA) in a sample of young and middle-aged adults who had undergone hip arthroscopy for hip pain.
The prevalence of chondropathy (defined as >grade 1 on the Outerbridge scale) at arthroscopy was 72% in 100 patients (36+ 12 years). The degree of disability reported by the patient correlated with the severity of the chondropathy. Furthermore, the relative risk of concurrent chondropathy with labral pathology or FAI was 40%.
Consequently, chondropathy appears to be a marker of early degenerative hip disease. Clinicians can have a high degree of suspicion that individuals with hip pain and femoroacetabular impingement (FAI) or labral pathology may also have chondropathy. > From: Tol et al., Br J Sports Med (2014) (Epub ahead of print). All rights reserved to BMJ Publishing Group Ltd.
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