Osteoarthritis On Hip Xray Does NOT Equal Symptoms!

This is a free preview of a paid episode. To hear more, visit rheumatologyphysio.substack.comWelcome Back Rheumatology Fans,We are going fully deep dive on a specific topic this week on one of my favourite soap boxes because this suits my bias in a lovely way.Here is a link to the full article PDF or Site LinkThe Johnston County Osteoarthritis Project (JoCoOA) offers a rare, longitudinal look at the burden of hip symptoms, radiographic hip osteoarthritis (rHOA), severe rHOA, and symptomatic radiographic hip OA (sxHOA) over nearly three decades. Across five time points from 1991 to 2018, this large, population-based cohort of adults aged ≥45 revealed a consistent and rising prevalence of structural hip changes. The most striking finding is the substantial increase in rHOA: from 28% at baseline to 53% by 2017–2018. Severe rHOA also rose from 2.5% to 9%, and symptomatic rHOA increased from 10% to 15%. By contrast, hip symptoms alone remained relatively stable over time, hovering around the low-to-mid 30% range.For more analysis and my Clinical Takeawways upgrade your subscription or enroll in my online course!If you are an upgraded substack member and want access to my full course, let me know and we can work it out.