Article

Radiographic change is common in new presenters in primary care with hip pain. PCR Hip Study Group.

ARC Epidemiology Unit, University of Manchester, Manchester M13 9PT, UK.
Rheumatology (impact factor: 4.06). 08/2000; 39(7):772-5. pp.772-5
Source: PubMed

ABSTRACT To determine the prevalence of radiographic osteoarthritis in subjects with hip pain newly presenting to primary care.
The study was cross-sectional in design, set in 35 general practices across the UK. It included 195 men and women aged 40 yr and over (median 63 yr) presenting with a new episode of hip pain. Hip radiographs were scored for minimum joint space (MJS) and overall-Croft's modification of the Kellgren and Lawrence (Croft)-grade of osteoarthritis.
In all, definite evidence of radiographic change in the painful joint was common: Croft grade > or =2 in 44%, > or =3 in 34%. MJS of 2.5 mm or less was seen in 30% of whom half were below 1.5 mm. There were no significant gender differences in radiographic severity.
Radiographic change is common in patients newly presenting with hip pain and many already have advanced disease.

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Keywords

35 general practices
 
Croft grade
 
Croft)-grade
 
hip pain
 
Hip radiographs
 
Lawrence
 
median 63 yr
 
minimum joint space
 
new episode
 
osteoarthritis
 
overall-Croft's modification
 
painful joint
 
prevalence
 
primary care
 
radiographic change
 
radiographic osteoarthritis
 

F Birrell