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[The hip in vertebral hyperostosis].

J Arlet, F Jacqueline, M Depeyre

    Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
    |January 1, 1978
    PubMed
    Summary
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    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).

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  • 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.