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Objective To develop a CT-based scoring system for assessment of hip arthropathy in AS. Methods All AS patients were prospectively recruited, consented and underwent whole-body stereoradiographs and pelvis CT, which were assessed by two independent radiologists. Stereoradiographs were assessed according to Kellgreen-Lawrence and BASRI-h. For the Hip arthropathy CT score in AS (HACTSAS), joints were divided into 7 segments and scored for joint space, osteophytes, subchondral cysts/erosions. Patients were clinically assessed for range of motion (ROM), pain and clinical scores (BASMI, BASFI, ASQol, BASDAI and ASDAS). Radiological scores correlations with clinical parameters were compared. ROM sensitivity and specificity for hip arthropathy (BASRI-h ≥ 2) were calculated. Results Sample included 112 patients, with 36/112 females and 76/112 males. Average age was 51.0 ± 11.2 years and mean duration of AS was 20.9 ± 9.6 years. Intraclass correlation coefficients (ICC) for HACTSAS, Kellgreen-Lawrence and BASRI-h were 0.89, 0.89 and 0.82, respectively. HACTSAS showed moderate absolute correlation with ROM (ρ =  −0.41) and BASMI (ρ =  0.45), and weak with pain (ρ  =   0.18) and BASFI (ρ  = 0.25). BASRI-h and Kellgreen-Lawrence exhibited moderate correlation with ROM (ρ =  −0.44 and ρ =  −0.40, respectively), weak with pain (ρ =  −0.27and ρ =  −0.23, respectively) and BASFI (ρ =  −0.16 and ρ =  −0.18, respectively), but only weak with BASMI (ρ =  −0.34 and ρ =  −0.36, respectively). Internal rotation <15°, abduction <31° and intermalleolar distance <75cm were, respectively, 73%, 70% and 73% sensitivity and 81%, 65% and 68% specific for hip arthropathy. Conclusion HACTSAS exhibited higher correlation with BASMI and BASFI when compared with BASRI-h, but less correlation with pain and ROM. Internal rotation was the best clinical discriminator for hip arthropathy. [ABSTRACT FROM AUTHOR]

Purpose: Femoroacetabular impingement (FAI) syndrome is characterized by a triad: symptoms, clinical signs and imaging findings. Some individuals, especially athletes, have only imaging alterations. The objective of this study was to evaluate the prevalence of cam and pincer morphology in professional soccer players compared with a control group of non-athletes and to investigate the association between the age at which players start playing competitive soccer more than three times per week and duration of the soccer career with the prevalence of these radiographic findings.Methods: The prevalence of cam and pincer morphology in sixty professional adult male soccer players and thirty-two male controls was determined using pelvic anteroposterior radiography. Data were recorded for all hips and correlated with the age at which the players started competitive soccer practice and with the duration of their soccer career.Results: The prevalence of morphological FAI in the soccer players was 92.5% versus 28.1% in the controls (p < 0.001). The duration of the soccer career was positively correlated with the alpha angle (p = 0.033) and negatively correlated with the retroversion index (p = 0.009). The age at which competitive play began was inversely correlated with the alpha angle (p < 0.001).Conclusion: The study showed a high prevalence of cam and pincer morphology in Brazilian professional soccer players compared with controls. The duration of the soccer career was associated with an increased alpha angle and a decreased retroversion index, and the age at which competitive soccer participation began was negatively associated with alpha angle values. Finally, this manuscript provides data about the association between greater exposure to soccer and cam and pincer morphological changes in the hip; specifically, cam morphology was more common in patients who began participating in sports at earlier ages. This information serves as an alert for coaches of youth teams to manage the training load in youth athletes.Level Of Evidence: III. [ABSTRACT FROM AUTHOR]

The article presents a study which examines the effect of progressive resistance exercise (PRE) program among women with knee osteoarthritis. The study uses a randomized controlled trial to the experimental group (EG) and control group (CG). The study shows the effectiveness of PRE program in reducing pain and quality of life (QoL) of women.