Rheumatology 2000; 39: 772-775
© 2000 British Society for Rheumatology
Radiographic change is common in new presenters in primary care with hip pain
ARC Epidemiology Unit, University of Manchester, Manchester M13 9PT,
1 Centre for Primary Care Sciences, University of Keele, Stoke-on-Trent ST4 7QB,
2 MRC Environmental Epidemiology Unit, University of Southampton, Southampton SO9 4XY,
3 Great Western Health Centre, Glasgow G13 2SW and
4 Unit of Chronic Disease Epidemiology, University of Manchester, Manchester M13 9PT, UK
Objective. To determine the prevalence of radiographic osteoarthritis in subjects with hip pain newly presenting to primary care.
Methods. The study was cross-sectional in design, set in 35 general practices across the UK. It included 195 men and women aged 40 yr and over (median 63 yr) presenting with a new episode of hip pain. Hip radiographs were scored for minimum joint space (MJS) and overall—Croft's modification of the Kellgren and Lawrence (Croft)—grade of osteoarthritis.
Results. In all, definite evidence of radiographic change in the painful joint was common: Croft grade 
2 in 44%, 3 in 34%. MJS of 2.5 mm or less was seen in 30% of whom half were below 1.5 mm. There were no significant gender differences in radiographic severity.
Conclusions. Radiographic change is common in patients newly presenting with hip pain and many already have advanced disease.
KEY WORDS: Radiographic change, Hip pain, Osteoarthritis, Primary care.
Correspondence to: F. Birrell, ARC Epidemiology Unit, University of Manchester, Stopford Building, Oxford Road, Manchester M13 9PT, UK.
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