Hip Osteoarthritis and Osteoporosis: Clinical and Histomorphometric Considerations
Although an inverse relationship between osteoarthritis (OA) and osteoporosis (OP) has been shown by some studies, other reports supported their coexistence. To clarify this relationship, we analyzed the interplay between clinical and histomorphometric features. Bone mineral density (BMD) and histom...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2014/372021 |
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| author | Umberto Tarantino Monica Celi Cecilia Rao Maurizio Feola Irene Cerocchi Elena Gasbarra Amedeo Ferlosio Augusto Orlandi |
| author_facet | Umberto Tarantino Monica Celi Cecilia Rao Maurizio Feola Irene Cerocchi Elena Gasbarra Amedeo Ferlosio Augusto Orlandi |
| author_sort | Umberto Tarantino |
| collection | DOAJ |
| description | Although an inverse relationship between osteoarthritis (OA) and osteoporosis (OP) has been shown by some studies, other reports supported their coexistence. To clarify this relationship, we analyzed the interplay between clinical and histomorphometric features. Bone mineral density (BMD) and histomorphometric structure were assessed in 80 patients of four different age-matched groups undergoing hip arthroplasty for severe OA or OP-related femoral fracture. Harris Hip Score was also performed. Surgical double osteotomy of the femoral head was performed and microscopic bone slice samples analysis was performed by using a BioQuant Osteo software. Bone volume fraction (BV/TV) was lower (P<0.01) in subjects with femoral neck fracture (20.77±4.34%) than in subjects with nonosteopenic OA (36.49±7.73%) or osteopenic OA (32.93±6.83%), whereas no difference was detected between subjects with femoral neck fractures and those with combined OA and OP (20.71±5.23%). Worse Harris Hip Score was found in those patients with the lowest BMD and BV/TV values. Our data support recent evidences indicating the possibility of impaired bone volume fraction in OA patients, with a high risk of developing OP, likely for their decreased mobility. Further studies are needed in order to investigate biomolecular pathway and/or growth factors involved in bone volume impairment in OA patients. |
| format | Article |
| id | doaj-art-ae1b891819c94f6da3e036194e95f9b9 |
| institution | Kabale University |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-ae1b891819c94f6da3e036194e95f9b92025-02-03T01:22:34ZengWileyInternational Journal of Endocrinology1687-83371687-83452014-01-01201410.1155/2014/372021372021Hip Osteoarthritis and Osteoporosis: Clinical and Histomorphometric ConsiderationsUmberto Tarantino0Monica Celi1Cecilia Rao2Maurizio Feola3Irene Cerocchi4Elena Gasbarra5Amedeo Ferlosio6Augusto Orlandi7Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Anatomic Pathology, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Anatomic Pathology, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyAlthough an inverse relationship between osteoarthritis (OA) and osteoporosis (OP) has been shown by some studies, other reports supported their coexistence. To clarify this relationship, we analyzed the interplay between clinical and histomorphometric features. Bone mineral density (BMD) and histomorphometric structure were assessed in 80 patients of four different age-matched groups undergoing hip arthroplasty for severe OA or OP-related femoral fracture. Harris Hip Score was also performed. Surgical double osteotomy of the femoral head was performed and microscopic bone slice samples analysis was performed by using a BioQuant Osteo software. Bone volume fraction (BV/TV) was lower (P<0.01) in subjects with femoral neck fracture (20.77±4.34%) than in subjects with nonosteopenic OA (36.49±7.73%) or osteopenic OA (32.93±6.83%), whereas no difference was detected between subjects with femoral neck fractures and those with combined OA and OP (20.71±5.23%). Worse Harris Hip Score was found in those patients with the lowest BMD and BV/TV values. Our data support recent evidences indicating the possibility of impaired bone volume fraction in OA patients, with a high risk of developing OP, likely for their decreased mobility. Further studies are needed in order to investigate biomolecular pathway and/or growth factors involved in bone volume impairment in OA patients.http://dx.doi.org/10.1155/2014/372021 |
| spellingShingle | Umberto Tarantino Monica Celi Cecilia Rao Maurizio Feola Irene Cerocchi Elena Gasbarra Amedeo Ferlosio Augusto Orlandi Hip Osteoarthritis and Osteoporosis: Clinical and Histomorphometric Considerations International Journal of Endocrinology |
| title | Hip Osteoarthritis and Osteoporosis: Clinical and Histomorphometric Considerations |
| title_full | Hip Osteoarthritis and Osteoporosis: Clinical and Histomorphometric Considerations |
| title_fullStr | Hip Osteoarthritis and Osteoporosis: Clinical and Histomorphometric Considerations |
| title_full_unstemmed | Hip Osteoarthritis and Osteoporosis: Clinical and Histomorphometric Considerations |
| title_short | Hip Osteoarthritis and Osteoporosis: Clinical and Histomorphometric Considerations |
| title_sort | hip osteoarthritis and osteoporosis clinical and histomorphometric considerations |
| url | http://dx.doi.org/10.1155/2014/372021 |
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