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Hip involvement in ankylosing spondylitis

I L Dwosh, D Resnick, M A Becker

    Arthritis and Rheumatism
    |July 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Ankylosing spondylitis (AS) frequently causes disabling hip disease, impacting mobility and leading to significant disability. Early detection and understanding of characteristic radiographic changes are crucial for managing this common complication.

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    Area of Science:

    • Rheumatology
    • Orthopedics
    • Radiology

    Background:

    • Hip involvement is a common and disabling complication of ankylosing spondylitis (AS).
    • Understanding the clinical and radiographic features of AS-related hip disease is essential for patient management.
    • Early disease course involvement contributes significantly to overall patient disability.

    Purpose of the Study:

    • To define and characterize hip disease in patients with definite ankylosing spondylitis.
    • To identify the prevalence and specific patterns of clinical and radiological hip abnormalities in AS.
    • To assess the impact of hip disease on patient disability and surgical outcomes.

    Main Methods:

    • Retrospective analysis of clinical and X-ray records from 87 patients with definite AS (Rome criteria).

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  • Comparison of radiographic findings with two control groups to identify distinctive patterns.
  • Evaluation of surgical interventions and complications, including para-articular ossification.

    • Main Results:

    • Clinical hip disease observed in 38% of patients, often bilateral and early in the disease course.
    • Radiographic abnormalities present in 48% of patients, including femoral head migration, joint space narrowing, osteophytosis, and protrusio acetabuli.
    • Para-articular ossification in replaced hips led to immobility in some cases, potentially limiting arthroplasty effectiveness.

    Conclusions:

    • Hip disease is a frequent and significant cause of disability in ankylosing spondylitis patients.
    • Distinctive radiographic features aid in diagnosing AS-related hip pathology.
    • Complications like para-articular ossification can impact surgical management and outcomes in AS patients.