The association between cam morphology and hip pain in males and females within 10 years: A national prospective cohort study (CHECK)
•Multiple follow-ups are necessary for research on hip pain due to the fluctuating nature of pain.•There might be a weak relationship between cam morphology and hip pain in males, while no such relation was found in females.•Size of cam morphology is not associated with the severity of hip pain. To...
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| Veröffentlicht in: | Seminars in arthritis and rheumatism 2024-12, Vol.69, p.152539, Article 152539 |
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| description | •Multiple follow-ups are necessary for research on hip pain due to the fluctuating nature of pain.•There might be a weak relationship between cam morphology and hip pain in males, while no such relation was found in females.•Size of cam morphology is not associated with the severity of hip pain.
To determine the association between baseline cam morphology and self-reported hip pain assessed at annual visits over a 10-year follow-up period stratified by biological sex. The secondary aim was to study the association between the magnitude of cam morphology and the severity of pain in symptomatic hips.
The nationwide prospective Cohort Hip and Cohort Knee (CHECK) study includes 1,002 participants aged 45-65 years. Logistic regression with generalized estimating equations were used to determine the strength of the associations between (1) baseline cam morphology (both alpha angle ≥60° and as a continuous measure) and the presence of hip pain at 10 annual follow-up visits and (2) the alpha angle (continuous) and the severity of pain as classified by Numerical Rating Scale at 5-,8-, 9-, and 10-years. The results are expressed as odds ratios (OR), adjusted for age, biological sex (only in the sex-combined group), body mass index, and follow-up Kellgren and Lawrence grade.
In total, 1,658 hips were included at baseline (1,335 female hips (79.2%)). The prevalence of cam morphology was 11.1% among all hips (29.1% in males; 6.4% in females). No association was found between cam morphology at baseline and the presence of hip pain at any follow-up in the female or sex-combined group. In males, only at 5-year follow-up, significant adjusted ORs were observed for the presence of cam morphology (1.77 (95%CI: 1.01-3.09)) and the alpha angle (1.02 (95%CI:1.00-1.04)). No evidence of associations was found between the alpha angle and the severity of hip pain in any of three groups.
Within this study, no consistent associations were found between cam morphology and hip pain at multiple follow-ups. There might be a weak relationship between cam morphology and hip pain in males, while no such relation was found in females. We did not identify an association between the alpha angle and severity of hip pain.
[Display omitted] |
| doi_str_mv | 10.1016/j.semarthrit.2024.152539 |
| format | Article |
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To determine the association between baseline cam morphology and self-reported hip pain assessed at annual visits over a 10-year follow-up period stratified by biological sex. The secondary aim was to study the association between the magnitude of cam morphology and the severity of pain in symptomatic hips.
The nationwide prospective Cohort Hip and Cohort Knee (CHECK) study includes 1,002 participants aged 45-65 years. Logistic regression with generalized estimating equations were used to determine the strength of the associations between (1) baseline cam morphology (both alpha angle ≥60° and as a continuous measure) and the presence of hip pain at 10 annual follow-up visits and (2) the alpha angle (continuous) and the severity of pain as classified by Numerical Rating Scale at 5-,8-, 9-, and 10-years. The results are expressed as odds ratios (OR), adjusted for age, biological sex (only in the sex-combined group), body mass index, and follow-up Kellgren and Lawrence grade.
In total, 1,658 hips were included at baseline (1,335 female hips (79.2%)). The prevalence of cam morphology was 11.1% among all hips (29.1% in males; 6.4% in females). No association was found between cam morphology at baseline and the presence of hip pain at any follow-up in the female or sex-combined group. In males, only at 5-year follow-up, significant adjusted ORs were observed for the presence of cam morphology (1.77 (95%CI: 1.01-3.09)) and the alpha angle (1.02 (95%CI:1.00-1.04)). No evidence of associations was found between the alpha angle and the severity of hip pain in any of three groups.
Within this study, no consistent associations were found between cam morphology and hip pain at multiple follow-ups. There might be a weak relationship between cam morphology and hip pain in males, while no such relation was found in females. We did not identify an association between the alpha angle and severity of hip pain.
[Display omitted]</description><identifier>ISSN: 0049-0172</identifier><identifier>ISSN: 1532-866X</identifier><identifier>EISSN: 1532-866X</identifier><identifier>DOI: 10.1016/j.semarthrit.2024.152539</identifier><identifier>PMID: 39241663</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Arthralgia - epidemiology ; Arthralgia - physiopathology ; Cam morphology ; Female ; Femoracetabular Impingement - diagnostic imaging ; Femoracetabular Impingement - epidemiology ; Femoracetabular Impingement - physiopathology ; Femoroacetabular impingement ; Follow-Up Studies ; Hip Joint - diagnostic imaging ; Hip Joint - physiopathology ; Hip pain ; Humans ; Male ; Middle Aged ; Pain Measurement ; Prospective Studies ; Severity of Illness Index ; Sex Factors</subject><ispartof>Seminars in arthritis and rheumatism, 2024-12, Vol.69, p.152539, Article 152539</ispartof><rights>2024 The Author(s)</rights><rights>Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c299t-95f6d99eff8f8d354029a1246ec413521911116b9d162a41b443a24b42eceae63</cites><orcidid>0000-0002-1028-5922</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.semarthrit.2024.152539$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3538,27906,27907,45977</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39241663$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tang, Jinchi</creatorcontrib><creatorcontrib>van Buuren, Michiel M.A.</creatorcontrib><creatorcontrib>Boel, Fleur</creatorcontrib><creatorcontrib>Riedstra, Noortje S.</creatorcontrib><creatorcontrib>van den Berg, Myrthe A.</creatorcontrib><creatorcontrib>Runhaar, Jos</creatorcontrib><creatorcontrib>Bierma-Zeinstra, Sita</creatorcontrib><creatorcontrib>Agricola, Rintje</creatorcontrib><title>The association between cam morphology and hip pain in males and females within 10 years: A national prospective cohort study (CHECK)</title><title>Seminars in arthritis and rheumatism</title><addtitle>Semin Arthritis Rheum</addtitle><description>•Multiple follow-ups are necessary for research on hip pain due to the fluctuating nature of pain.•There might be a weak relationship between cam morphology and hip pain in males, while no such relation was found in females.•Size of cam morphology is not associated with the severity of hip pain.
To determine the association between baseline cam morphology and self-reported hip pain assessed at annual visits over a 10-year follow-up period stratified by biological sex. The secondary aim was to study the association between the magnitude of cam morphology and the severity of pain in symptomatic hips.
The nationwide prospective Cohort Hip and Cohort Knee (CHECK) study includes 1,002 participants aged 45-65 years. Logistic regression with generalized estimating equations were used to determine the strength of the associations between (1) baseline cam morphology (both alpha angle ≥60° and as a continuous measure) and the presence of hip pain at 10 annual follow-up visits and (2) the alpha angle (continuous) and the severity of pain as classified by Numerical Rating Scale at 5-,8-, 9-, and 10-years. The results are expressed as odds ratios (OR), adjusted for age, biological sex (only in the sex-combined group), body mass index, and follow-up Kellgren and Lawrence grade.
In total, 1,658 hips were included at baseline (1,335 female hips (79.2%)). The prevalence of cam morphology was 11.1% among all hips (29.1% in males; 6.4% in females). No association was found between cam morphology at baseline and the presence of hip pain at any follow-up in the female or sex-combined group. In males, only at 5-year follow-up, significant adjusted ORs were observed for the presence of cam morphology (1.77 (95%CI: 1.01-3.09)) and the alpha angle (1.02 (95%CI:1.00-1.04)). No evidence of associations was found between the alpha angle and the severity of hip pain in any of three groups.
Within this study, no consistent associations were found between cam morphology and hip pain at multiple follow-ups. There might be a weak relationship between cam morphology and hip pain in males, while no such relation was found in females. We did not identify an association between the alpha angle and severity of hip pain.
[Display omitted]</description><subject>Aged</subject><subject>Arthralgia - epidemiology</subject><subject>Arthralgia - physiopathology</subject><subject>Cam morphology</subject><subject>Female</subject><subject>Femoracetabular Impingement - diagnostic imaging</subject><subject>Femoracetabular Impingement - epidemiology</subject><subject>Femoracetabular Impingement - physiopathology</subject><subject>Femoroacetabular impingement</subject><subject>Follow-Up Studies</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - physiopathology</subject><subject>Hip pain</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain Measurement</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Sex Factors</subject><issn>0049-0172</issn><issn>1532-866X</issn><issn>1532-866X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUU1v1DAQtRCILoW_gHwshywe2_GuuZVVSxGVuBSJm-U4E-JVEgfb22p_QP83blPokdGMbNlvvt4jhAJbAwP1cb9OONqY--jzmjMu11DzWugXZAW14NVWqZ8vyYoxqSsGG35C3qS0ZwxAsc1rciI0l6CUWJH7mx6pTSk4b7MPE20w3yFO1NmRjiHOfRjCryO1U0t7P9PZ-okWH-2A6fG1w-V-53NfPoDRI9qYPtFzOj2WtAOdY0gzuuxvkbrQh5hpyof2SM92Vxe7bx_ekledHRK-ezpPyY_Li5vdVXX9_cvX3fl15bjWudJ1p1qtseu23bYVtWRcW-BSoZMgag4aiqlGt6C4ldBIKSyXjeTo0KISp-RsqVsG-n3AlM3ok8NhsBOGQzKisLvRskSBbheoK7OniJ2Zoy-cHw0w8yCC2ZtnEcyDCGYRoaS-f-pyaEZs_yX-Zb0APi8ALLveeowmOY-Tw9bHwpJpg_9_lz8zDp3w</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Tang, Jinchi</creator><creator>van Buuren, Michiel M.A.</creator><creator>Boel, Fleur</creator><creator>Riedstra, Noortje S.</creator><creator>van den Berg, Myrthe A.</creator><creator>Runhaar, Jos</creator><creator>Bierma-Zeinstra, Sita</creator><creator>Agricola, Rintje</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1028-5922</orcidid></search><sort><creationdate>202412</creationdate><title>The association between cam morphology and hip pain in males and females within 10 years: A national prospective cohort study (CHECK)</title><author>Tang, Jinchi ; 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To determine the association between baseline cam morphology and self-reported hip pain assessed at annual visits over a 10-year follow-up period stratified by biological sex. The secondary aim was to study the association between the magnitude of cam morphology and the severity of pain in symptomatic hips.
The nationwide prospective Cohort Hip and Cohort Knee (CHECK) study includes 1,002 participants aged 45-65 years. Logistic regression with generalized estimating equations were used to determine the strength of the associations between (1) baseline cam morphology (both alpha angle ≥60° and as a continuous measure) and the presence of hip pain at 10 annual follow-up visits and (2) the alpha angle (continuous) and the severity of pain as classified by Numerical Rating Scale at 5-,8-, 9-, and 10-years. The results are expressed as odds ratios (OR), adjusted for age, biological sex (only in the sex-combined group), body mass index, and follow-up Kellgren and Lawrence grade.
In total, 1,658 hips were included at baseline (1,335 female hips (79.2%)). The prevalence of cam morphology was 11.1% among all hips (29.1% in males; 6.4% in females). No association was found between cam morphology at baseline and the presence of hip pain at any follow-up in the female or sex-combined group. In males, only at 5-year follow-up, significant adjusted ORs were observed for the presence of cam morphology (1.77 (95%CI: 1.01-3.09)) and the alpha angle (1.02 (95%CI:1.00-1.04)). No evidence of associations was found between the alpha angle and the severity of hip pain in any of three groups.
Within this study, no consistent associations were found between cam morphology and hip pain at multiple follow-ups. There might be a weak relationship between cam morphology and hip pain in males, while no such relation was found in females. We did not identify an association between the alpha angle and severity of hip pain.
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| subjects | Aged Arthralgia - epidemiology Arthralgia - physiopathology Cam morphology Female Femoracetabular Impingement - diagnostic imaging Femoracetabular Impingement - epidemiology Femoracetabular Impingement - physiopathology Femoroacetabular impingement Follow-Up Studies Hip Joint - diagnostic imaging Hip Joint - physiopathology Hip pain Humans Male Middle Aged Pain Measurement Prospective Studies Severity of Illness Index Sex Factors |
| title | The association between cam morphology and hip pain in males and females within 10 years: A national prospective cohort study (CHECK) |
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