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[The hip in vertebral hyperostosis]
Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
|January 1, 1978
Summary
Vertebral hyperostosis frequently affects the hip joint, presenting in three distinct types. These types represent progressive stages of hyperostotic hip disease, ranging from peri-articular proliferation to destructive epiphysial changes.
Area of Science:
- Orthopedics
- Rheumatology
- Radiology
Background:
- Vertebral hyperostosis is a condition that can affect multiple joints.
- The hip joint is a common site for complications associated with vertebral hyperostosis.
- Destructive forms of hyperostosis in the hip require detailed characterization.
Purpose of the Study:
- To determine the frequency of hip joint involvement in vertebral hyperostosis.
- To describe the different types of hip disorders associated with vertebral hyperostosis.
- To investigate the potential evolutionary stages of hyperostotic hip disease.
Main Methods:
- Analysis of two case series involving patients with vertebral hyperostosis.
- Radiological assessment of 145 pathological hips in the first series (101 cases).
- Longitudinal follow-up (2-16 years) of 58 cases of hyperostotic hip disease in the second series.
Main Results:
- 145 pathological hips were identified in association with vertebral hyperostosis.
- Three types of hip disorders were observed: Type I (peri-articular proliferation, intact joint space), Type II (hyperostotic proliferation, narrowed joint space), and Type III (epiphyseal destruction).
- The three identified types appear to represent sequential stages in the progression of hyperostotic hip disease.
Conclusions:
- Vertebral hyperostosis commonly impacts the hip joint.
- The observed types of hip involvement likely represent distinct stages in the natural history of hyperostotic hip disease.
- Further research into the pathogenesis and management of these stages is warranted.