Retrospective Analysis of Idiopathic Hip Osteoarthritis Based on Anteroposterior Pelvic Radiograph; Hip Osteoarthritis Caused by Femoroacetabular Impingement




Background: Femoroacetabular Impingement (FAI) means pathological impact between the femoral head-neck junction and the acetabular rim. Objectives: The aim of this retrospective study was to analyze Femoroacetabular Impingement (FAI) signs, which can lead to idiopathic hip osteoarthritis, from preoperative radiographs of patients indicated for total hip replacement as compared to radiographs of patients without this indication. Methods: We examined the preoperative anteroposterior (AP) pelvic radiograph, the pincer and cam FAI signs of patients between 45 and 60 years, who had undergone total hip replacement. We examined in the same group, the operated side and the non-operated hips with osteoarthritis (patients group). In the control group we examined the pelvic radiograph of patients without symptoms between 45 and 60 years old (control, group). Results: In the patient group (215 patients, 313 hips) we noted the signs of FAI in 88% while in the control group (112 patients 224 hips) these signs were found in 8.8% of cases. Conclusions: In 88% of primary osteoarthritis cases we found FAI morphology on the AP pelvic radiograph, similarly to those found in the bibliography, and we considered naming primary osteoarthritis, secondary osteoarthritis caused by FAI. In the majority of cases, early diagnosis with simple, cheap and easily accessible AP pelvic radiograph with low dose of radiationmay also be warranted