Osteoarthritis

The association between cam morphology and hip pain in males and females within 10 years: A national prospective cohort study (CHECK)

Semin Arthritis RheumPublished Prospective cohort study

Main finding · Presence of hip painResult — go to the resultAdjusted odds ratio 1.77 95% CI 1.01–3.09

Authors' conclusion

Within this study, no consistent associations were found between cam morphology and hip pain at multiple follow-ups. There might be a weak relationship between cam morphology and hip pain in males, while no such relation was found in females. We did not identify an association between the alpha angle and severity of hip pain.

Study context

Population
Participants aged 45–65 years in the CHECK study; hips stratified by biological sex1,658 hips
Participants
1,002 participants
Exposure
Baseline cam morphology vs no cam morphology
Outcome
Self-reported hip pain at annual visits
Follow-up
10 annual visits
Methodological detailsnationwide, logistic regression with generalized estimating equations, stratified by biological sex
  • Nationwide
  • Logistic regression with generalized estimating equations
  • Stratified by biological sex

Main finding

Presence of hip pain

Adjusted odds ratio

1.77

95% CI 1.01–3.09

Cam morphologyvs No cam morphology
adjusted OR 1.77 (95% CI 1.01–3.09)

As reported in the abstract

Alpha angle (continuous), males at 5-year follow-up, adjusted OR
1.02 (95%CI:1.00-1.04)
Prevalence of cam morphology, all hips
11.1%
Prevalence of cam morphology, males
29.1%
Prevalence of cam morphology, females
6.4%

Observational data: associations, not effects.

Further findings

Alpha angle and severity of hip pain (NRS) in symptomatic hips · 5, 8, 9 and 10 years

No evidence of association in any of three groups

Original publication

The association between cam morphology and hip pain in males and females within 10 years: A national prospective cohort study (CHECK). Semin Arthritis Rheum. Published 23 August 2024. doi:10.1016/j.semarthrit.2024.152539

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