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Predicting radiographic hip osteoarthritis from range of movement

Predicting radiographic hip osteoarthritis from range of movement
Predicting radiographic hip osteoarthritis from range of movement
Objectives. The primary objective was to test the hypothesis that new attenders in primary care with hip pain and radiographic osteoarthritis (OA) have a decreased range of movement compared with those without OA. The secondary objective was to define the planes of movement and thresholds that were the most discriminatory for OA.
Methods. Men and women aged 40 yr and over presenting with a new episode of hip pain were recruited from 36 general practices across the UK. A standardized radiographic and clinical examination was performed. The discriminating ability of the range of movement for each plane to identify those with radiographic OA was assessed using receiver operating characteristic curves.
Results. New hip pain attenders with radiographic OA had restricted movement at the hip compared with those without radiographic change. Restriction in internal rotation was the most predictive and flexion the least predictive of radiographic OA. At this cut-off, restriction in any single plane had a sensitivity of 86% for moderate and 100% for severe OA (specificity was 54 and 42% respectively). Restriction in all three planes had greater discrimination (sensitivity was 33% for mild to moderate OA and 54% for severe OA; specificity was 93 and 88% respectively).
Conclusions. Restriction in range of movement was predictive of the presence of OA in these new presenters to primary care with hip pain, and the results of this examination could be used to inform decisions regarding radiography.
osteoarthritis, hip, range of movement, prediction
1462-0324
506-512
Birrell, F.
a37bb72c-a86a-4cc0-a3b2-8a26508b1cce
Croft, P.
8faa5d3f-d4d6-4b68-b7fa-b4b284768b41
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Hosie, G.
c8949a69-8d9f-40e9-b752-9ca92acca09d
Macfarlane, G.
dafa2d7d-c3c2-4c41-8fe7-e8d8de0ee3e7
Silman, A.
3111838f-93cd-4147-b89e-97f012240106
Birrell, F.
a37bb72c-a86a-4cc0-a3b2-8a26508b1cce
Croft, P.
8faa5d3f-d4d6-4b68-b7fa-b4b284768b41
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Hosie, G.
c8949a69-8d9f-40e9-b752-9ca92acca09d
Macfarlane, G.
dafa2d7d-c3c2-4c41-8fe7-e8d8de0ee3e7
Silman, A.
3111838f-93cd-4147-b89e-97f012240106

Birrell, F., Croft, P., Cooper, C., Hosie, G., Macfarlane, G. and Silman, A. (2001) Predicting radiographic hip osteoarthritis from range of movement. Rheumatology, 40 (5), 506-512. (doi:10.1093/rheumatology/40.5.506).

Record type: Article

Abstract

Objectives. The primary objective was to test the hypothesis that new attenders in primary care with hip pain and radiographic osteoarthritis (OA) have a decreased range of movement compared with those without OA. The secondary objective was to define the planes of movement and thresholds that were the most discriminatory for OA.
Methods. Men and women aged 40 yr and over presenting with a new episode of hip pain were recruited from 36 general practices across the UK. A standardized radiographic and clinical examination was performed. The discriminating ability of the range of movement for each plane to identify those with radiographic OA was assessed using receiver operating characteristic curves.
Results. New hip pain attenders with radiographic OA had restricted movement at the hip compared with those without radiographic change. Restriction in internal rotation was the most predictive and flexion the least predictive of radiographic OA. At this cut-off, restriction in any single plane had a sensitivity of 86% for moderate and 100% for severe OA (specificity was 54 and 42% respectively). Restriction in all three planes had greater discrimination (sensitivity was 33% for mild to moderate OA and 54% for severe OA; specificity was 93 and 88% respectively).
Conclusions. Restriction in range of movement was predictive of the presence of OA in these new presenters to primary care with hip pain, and the results of this examination could be used to inform decisions regarding radiography.

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More information

Published date: 2001
Keywords: osteoarthritis, hip, range of movement, prediction

Identifiers

Local EPrints ID: 25262
URI: http://eprints.soton.ac.uk/id/eprint/25262
ISSN: 1462-0324
PURE UUID: 2c895a6a-a330-4959-a502-90da552d5322
ORCID for C. Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 06 Apr 2006
Last modified: 18 Mar 2024 02:44

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Contributors

Author: F. Birrell
Author: P. Croft
Author: C. Cooper ORCID iD
Author: G. Hosie
Author: G. Macfarlane
Author: A. Silman

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