Osteoarthritis of the hip joint in elderly patients is most commonly atrophic, with low parameters of acetabular dysplasia and possible involvement of osteoporosis

We report a 52-year-old female with end-stage osteoarthritis of the hip accompanied by acetabular dysplasia in whom quality of life (QOL) was improved by Kampo treatment. When she was 42 years old, she developed pain in the left hip joint, and early-stage OA of the hip was diagnosed by hip joint x-ray. Therefore, she took NSAIDs, and received conservative therapies such as diet and muscle training. However, pain in the hip joint increased and her activity of daily life (ADL) decreased at the age of 50, although she continued to receive the conservative therapies. At the age of 52, she consulted our department requesting Japanese Oriental (Kampo) Medicine. Kampo formulae; Keishikaryojutsubuto (12Tab/day: Kuracie Co. Ltd. Japan), and Boiougito (7.5 g/day: Kuracie Co. Ltd. Japan), were administered. Treatment for 3 months resulted in a decrease in the left hip joint pain using visual analogue scale (VAS) and improvement of her ADL. One year later, her joint symptoms have not increased, and both the Harris hip score and the clinical evaluation criteria of osteoarthritis of the hip have improved. The course of this disease varies depending on the lifestyle of the patient, and Kampo formulations may offer safe, potent supplemental treatment.

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TOTAL HIP REPLACEMENT COMBINED WITH BONE GRAFTING FOR ACETABULAR DYSPLASIA CAUSING SEVERE OSTEOARTHRITIS OF THE HIP JOINT

ANZ Journal of Surgery ◽

10.1111/j.1445-2197.1985.tb00883.x ◽

1985 ◽

Vol 55 (2) ◽

pp. 195-198

Author(s):

B. J. Dooley ◽

M. J. Clifford ◽

D. P. Hjorth

Keyword(s):

Total Hip Replacement ◽

Hip Joint ◽

Bone Grafting ◽

Hip Replacement ◽

Acetabular Dysplasia ◽

Osteoarthritis Of The Hip ◽

Total Hip

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Paper 226: Radiographic Evidence of Acetabular Dysplasia as a Predictor of Hip Joint Instability and Laxity

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2012.05.240 ◽

2012 ◽

Vol 28 (8) ◽

pp. e306

Keyword(s):

Hip Joint ◽

Joint Instability ◽

Acetabular Dysplasia ◽

Radiographic Evidence

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The Role of Vitamin D Metabolite Deficiency in the Development of Structural and Functional Disorders in Coxarthrosis

Visnyk Ortopedii Travmatologii Protezuvannia ◽

10.37647/0132-2486-2021-108-1-49-55 ◽

2021 ◽

pp. 49-55

Author(s):

O.V. Kalashnikov ◽

G.V. Gayko ◽

O.A. Burianov ◽

V.V. Tymochuk ◽

D.M. Poluliakh

Keyword(s):

Vitamin D ◽

Hip Joint ◽

Rapid Progression ◽

Vitamin D Metabolites ◽

Active Metabolites ◽

Osteoarthritis Of The Hip ◽

Slow Progression ◽

Connective Tissue Dysplasia ◽

Post Traumatic

Summary. At present, there is a need to systematize the data of our own comprehensive research and literature in order to determine the role of active metabolites of vitamin D in the formation of structural and functional disorders (SFD) in osteoarthritis of the hip. Objective: on the basis of our own complex researches and data of literature, to determine the role of the insufficiency of vitamin D metabolites in the development of SFD in coxarthrosis. Materials and Methods. The basis for determining the role of active metabolites of vitamin D in the development of SFN in coxarthrosis was our own comprehensive studies of 506 patients with osteoarthritis of the hip and data from the literature. Results. On the basis of the theory of functional systems, a conceptual model for the development of SFD in coxarthrosis has been developed. The leading factor in the development of SFD in the rapid progression of idiopathic and dysplastic osteoarthritis of the hip is the lack of active metabolites of vitamin D. The presence of undifferentiated connective tissue dysplasia in turn causes a decrease in the absorption of provitamin D in the stomach and intestines. With a slow progression of idiopathic coxarthrosis, the leading factor in the development of these disorders is the excessive load on the hip joint. Factors of violation of biomechanical conditions and injury of the hip joint are factors of the progression of coxarthrosis of dysplastic and post-traumatic genesis. Pathogenic factors lead to functional and structural changes in systems of different levels and their elements with the development of inverted processes in the structures of the hip joint. Conclusions. Insufficiency of vitamin D metabolites on the background of undifferentiated connective tissue dysplasia leads to biochemical changes in articular cartilage and serum, affects both osteo- and chondrogenesis, leads to reduced immune status of patients and the development of clinical manifestations of rapid progression of idiopathic and dysplastic coxarthrosis. With a slow progression of idiopathic coxarthrosis, the main factor leading to the development of the above mentioned disorders is the excessive load on the hip joint. Factors of violation of biomechanical conditions and injury of the hip joint determine the development of SFD in coxarthrosis of dysplastic and post-traumatic genesis.

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The efficacy of the conservative therapy for an idiopathic osteoarthritis of the hip joint

Clinical pharmacology and therapy ◽

10.32756/0869-5490-2020-4-26-30 ◽

2020 ◽

Vol 29 (4) ◽

pp. 26-30

Author(s):

O.A. Kaplunov ◽

K.O. Kaplunov

Keyword(s):

Hip Joint ◽

Conservative Therapy ◽

Osteoarthritis Of The Hip

To evaluate the efficacy of aceclofenac, tolperisone, and chondroprotective agent in patients with moderately severe osteoathritis (OA) of the hip joint.

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