The association between statistical shape modeling-defined hip morphology and features of early hip osteoarthritis in young adult football players: Data from the femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study

Objective: To explore the relationship between radiographic hip shape and features of early hip osteoarthritis (OA) on magnetic resonance imaging (MRI) in young male and female football players without radiographic hip OA. Design: We used baseline data from a cohort of symptomatic and asymptomatic f...

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Main Authors: M.M.A. van Buuren, J.J. Heerey, A. Smith, K.M. Crossley, J.L. Kemp, M.J. Scholes, P.R. Lawrenson, M.G. King, W.P. Gielis, H. Weinans, C. Lindner, R.B. Souza, J.A.N. Verhaar, R. Agricola
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Osteoarthritis and Cartilage Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2665913122000437
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author M.M.A. van Buuren
J.J. Heerey
A. Smith
K.M. Crossley
J.L. Kemp
M.J. Scholes
P.R. Lawrenson
M.G. King
W.P. Gielis
H. Weinans
C. Lindner
R.B. Souza
J.A.N. Verhaar
R. Agricola
author_facet M.M.A. van Buuren
J.J. Heerey
A. Smith
K.M. Crossley
J.L. Kemp
M.J. Scholes
P.R. Lawrenson
M.G. King
W.P. Gielis
H. Weinans
C. Lindner
R.B. Souza
J.A.N. Verhaar
R. Agricola
author_sort M.M.A. van Buuren
collection DOAJ
description Objective: To explore the relationship between radiographic hip shape and features of early hip osteoarthritis (OA) on magnetic resonance imaging (MRI) in young male and female football players without radiographic hip OA. Design: We used baseline data from a cohort of symptomatic and asymptomatic football players aged 18–50 years. Hip shape was assessed on anteroposterior radiographs with statistical shape modeling (SSM) for men and women separately. Cartilage defects and labral tears were graded using the Scoring Hip Osteoarthritis with MRI (SHOMRI) system. We used logistic regression with generalized estimating equations to estimate associations between each hip shape variant, called shape modes, and cartilage defects or labral tears. Results: We included 229 participants (446 hips, 77.4% male). For each sex, 15 shape modes were analyzed. In men, three shape modes were associated with cartilage defects: adjusted odds ratios (aOR) 0.75 (95%CI 0.58–0.97) per standard deviation (SD) for mode 1; 1.34 (95%CI 1.05–1.69) per SD for mode 12; and 0.61 (95%CI 0.48–0.78) per SD for mode 15; and one also with labral tears: aOR 1.30 (95%CI 1.01–1.69) per SD for mode 12. These modes generally represented variations in the femoral neck and subtypes of cam morphology, with and without pincer morphology. For women, there was no evidence for associations with the outcomes. Conclusions: Several hip shape variants were associated with cartilage defects on MRI in young male football players. Specifically, one subtype of cam morphology was associated with both cartilage defects and labral tears. Hip shape was not associated with early OA features in women.
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spelling doaj.art-c97f3c8480e046a8af20f093ba2ea2d72022-12-22T03:58:58ZengElsevierOsteoarthritis and Cartilage Open2665-91312022-09-0143100275The association between statistical shape modeling-defined hip morphology and features of early hip osteoarthritis in young adult football players: Data from the femoroacetabular impingement and hip osteoarthritis cohort (FORCe) studyM.M.A. van Buuren0J.J. Heerey1A. Smith2K.M. Crossley3J.L. Kemp4M.J. Scholes5P.R. Lawrenson6M.G. King7W.P. Gielis8H. Weinans9C. Lindner10R.B. Souza11J.A.N. Verhaar12R. Agricola13Department of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands; Corresponding author.La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, AustraliaSchool of Physiotherapy and Exercise Science, Curtin University, Perth, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, AustraliaSchool of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, AustraliaDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, the NetherlandsDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, the Netherlands; Department of Biomechanical Engineering, Delft University of Technology, Delft, the NetherlandsDivision of Informatics, Imaging & Data Sciences, University of Manchester, Manchester, United KingdomDepartment of Physical Therapy and Rehabilitation Science, University of California San Francisco, San Francisco, CA, USADepartment of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the NetherlandsDepartment of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the NetherlandsObjective: To explore the relationship between radiographic hip shape and features of early hip osteoarthritis (OA) on magnetic resonance imaging (MRI) in young male and female football players without radiographic hip OA. Design: We used baseline data from a cohort of symptomatic and asymptomatic football players aged 18–50 years. Hip shape was assessed on anteroposterior radiographs with statistical shape modeling (SSM) for men and women separately. Cartilage defects and labral tears were graded using the Scoring Hip Osteoarthritis with MRI (SHOMRI) system. We used logistic regression with generalized estimating equations to estimate associations between each hip shape variant, called shape modes, and cartilage defects or labral tears. Results: We included 229 participants (446 hips, 77.4% male). For each sex, 15 shape modes were analyzed. In men, three shape modes were associated with cartilage defects: adjusted odds ratios (aOR) 0.75 (95%CI 0.58–0.97) per standard deviation (SD) for mode 1; 1.34 (95%CI 1.05–1.69) per SD for mode 12; and 0.61 (95%CI 0.48–0.78) per SD for mode 15; and one also with labral tears: aOR 1.30 (95%CI 1.01–1.69) per SD for mode 12. These modes generally represented variations in the femoral neck and subtypes of cam morphology, with and without pincer morphology. For women, there was no evidence for associations with the outcomes. Conclusions: Several hip shape variants were associated with cartilage defects on MRI in young male football players. Specifically, one subtype of cam morphology was associated with both cartilage defects and labral tears. Hip shape was not associated with early OA features in women.http://www.sciencedirect.com/science/article/pii/S2665913122000437Hip morphologyFemoroacetabular impingementStatistical shape modelingHip osteoarthritisFootballMagnetic resonance imaging
spellingShingle M.M.A. van Buuren
J.J. Heerey
A. Smith
K.M. Crossley
J.L. Kemp
M.J. Scholes
P.R. Lawrenson
M.G. King
W.P. Gielis
H. Weinans
C. Lindner
R.B. Souza
J.A.N. Verhaar
R. Agricola
The association between statistical shape modeling-defined hip morphology and features of early hip osteoarthritis in young adult football players: Data from the femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study
Osteoarthritis and Cartilage Open
Hip morphology
Femoroacetabular impingement
Statistical shape modeling
Hip osteoarthritis
Football
Magnetic resonance imaging
title The association between statistical shape modeling-defined hip morphology and features of early hip osteoarthritis in young adult football players: Data from the femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study
title_full The association between statistical shape modeling-defined hip morphology and features of early hip osteoarthritis in young adult football players: Data from the femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study
title_fullStr The association between statistical shape modeling-defined hip morphology and features of early hip osteoarthritis in young adult football players: Data from the femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study
title_full_unstemmed The association between statistical shape modeling-defined hip morphology and features of early hip osteoarthritis in young adult football players: Data from the femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study
title_short The association between statistical shape modeling-defined hip morphology and features of early hip osteoarthritis in young adult football players: Data from the femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study
title_sort association between statistical shape modeling defined hip morphology and features of early hip osteoarthritis in young adult football players data from the femoroacetabular impingement and hip osteoarthritis cohort force study
topic Hip morphology
Femoroacetabular impingement
Statistical shape modeling
Hip osteoarthritis
Football
Magnetic resonance imaging
url http://www.sciencedirect.com/science/article/pii/S2665913122000437
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