Hip osteoarthritis – special features of pathogenesis, clinical course and imaging
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Hip osteoarthritis, diagnosis, pathogenesis

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Sapundzhiev, L., Sapundzhieva, T., & Klinkanov, K. (2021). Hip osteoarthritis – special features of pathogenesis, clinical course and imaging. Rheumatology (Bulgaria), 29(2), 15-39. https://doi.org/10.35465/29.2.2021.pp15-39


Hip osteoarthritis - (HOA), is the third prevalent OA location after the knee and hands joints.  НОА trials  are still paying a debt to society. Actually, they have been staying for years far behind the trials on knee osteoarthritis (KOA) , probably because of the higher incidence of KOA and/or of the easier clinical and radiographic examination of the knee, as well as because of its accessibility to clinical interventions. In the present review a detailed analysis is performed , concerning the role and the interactions between systemic and local factors, regarding the aetiology and pathogenesis of НОА, the methods and tools for a clinical and radiographic definition of the disease; the evaluation and follow-up  of the clinical and radiographic disease progression ; formation of the clinical-radiographic subpopulations and figuring out the basics of designing and performing of future studies on HOA.

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