Skip navigation
Skip navigation

The relationship of femoral neck shaft angle and adiposity to greater trochanteric pain syndrome in women. A case control morphology and anthropometric study

Fearon, A.; Stephens, S.; Cook, J.; Smith, P.; Neeman, T.; Cormick, W.; Scarvell, J.

Description

OBJECTIVE To evaluate if pelvic or hip width predisposed women to developing greater trochanteric pain syndrome (GTPS). DESIGN Prospective case control study. PARTICIPANTS Four groups were included in the study: those gluteal tendon reconstructions (n=31, GTR), those with conservatively managed GTPS (n=29), those with hip osteoarthritis (n=20, OA) and 22 asymptomatic participants (ASC). METHODS Anterior-posterior pelvic x-rays were evaluated for femoral neck shaft angle; acetabular index, and...[Show more]

dc.contributor.authorFearon, A.
dc.contributor.authorStephens, S.
dc.contributor.authorCook, J.
dc.contributor.authorSmith, P.
dc.contributor.authorNeeman, T.
dc.contributor.authorCormick, W.
dc.contributor.authorScarvell, J.
dc.date.accessioned2016-03-29T05:14:34Z
dc.date.available2016-03-29T05:14:34Z
dc.identifier.issn0306-3674
dc.identifier.urihttp://hdl.handle.net/1885/100904
dc.description.abstractOBJECTIVE To evaluate if pelvic or hip width predisposed women to developing greater trochanteric pain syndrome (GTPS). DESIGN Prospective case control study. PARTICIPANTS Four groups were included in the study: those gluteal tendon reconstructions (n=31, GTR), those with conservatively managed GTPS (n=29), those with hip osteoarthritis (n=20, OA) and 22 asymptomatic participants (ASC). METHODS Anterior-posterior pelvic x-rays were evaluated for femoral neck shaft angle; acetabular index, and width at the lateral acetabulum, and the superior and lateral aspects of the greater trochanter. Body mass index, and waist, hip and greater trochanter girth were measured. Data were analysed using a one-way analysis of variance (ANOVA; posthoc Scheffe analysis), then multivariate analysis. RESULTS The GTR group had a lower femoral neck shaft angle than the other groups (p=0.007). The OR (95% CI) of having a neck shaft angle of less than 134°, relative to the ASC group: GTR=3.33 (1.26 to 8.85); GTPS=1.4 (0.52 to 3.75); OA=0.85 (0.28 to 2.61). The OR of GTR relative to GTPS was 2.4 (1.01 to 5.6). No group difference was found for acetabular or greater trochanter width. Greater trochanter girth produced the only anthropometric group difference (mean (95% CI) in cm) GTR=103.8 (100.3 to 107.3), GTPS=105.9 (100.2 to 111.6), OA=100.3 (97.7 to 103.9), ASC=99.1 (94.7 to 103.5), (ANOVA: p=0.036). Multivariate analysis confirmed adiposity is associated with GTPS. CONCLUSION A lower neck shaft angle is a risk factor for, and adiposity is associated with, GTPS in women.
dc.publisherBMJ Publishing Group
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode
dc.sourceBritish Journal of Sports Medicine
dc.subjectadiposity
dc.subjectadult
dc.subjectaged
dc.subjectanalysis of variance
dc.subjectanthropometry
dc.subjectarthralgia
dc.subjectcase-control studies
dc.subjectfemale
dc.subjectfemur neck
dc.subjecthumans
dc.subjectmiddle aged
dc.subjectobserver variation
dc.subjectosteoarthritis, hip
dc.subjectpelvic bones
dc.subjectphysical examination
dc.subjectprospective studies
dc.subjectrisk factors
dc.subjectsyndrome
dc.subjecttendinopathy
dc.subjectyoung adult
dc.titleThe relationship of femoral neck shaft angle and adiposity to greater trochanteric pain syndrome in women. A case control morphology and anthropometric study
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume46
dc.date.issued2012-04-30
local.identifier.absfor110314
local.identifier.absfor110904
local.identifier.absfor020503
local.identifier.ariespublicationf5625xPUB1366
local.publisher.urlhttp://www.bmj.com/company/
local.type.statusPublished Version
local.contributor.affiliationFearon, Angela, College of Medicine, Biology and Environment, CMBE ANU Medical School, ANU Medical School, The Australian National University
local.contributor.affiliationStephens, S, ACT Health, Australia
local.contributor.affiliationCook, Jill L, Monash University, Australia
local.contributor.affiliationSmith, Paul, College of Medicine, Biology and Environment, CMBE ANU Medical School, ANU Medical School, The Australian National University
local.contributor.affiliationNeeman, Teresa, Administrative Division, University Executive, University Executive General
local.contributor.affiliationCormick, Wes, Canberra Imaging Group, Australia
local.contributor.affiliationScarvell, Jennie, The Canberra Hospital, Australia
local.identifier.essn1473-0480
local.bibliographicCitation.issue12
local.bibliographicCitation.startpage888
local.bibliographicCitation.lastpage892
local.identifier.doi10.1136/bjsports-2011-090744
dc.date.updated2016-06-14T08:35:26Z
local.identifier.scopusID2-s2.0-84866606710
local.identifier.thomsonID000308635400013
dcterms.accessRightsOpen Access
CollectionsANU Research Publications

Download

File Description SizeFormat Image
01_Fearon_The_relationship_of_femoral_2012.pdfPublished Version239.71 kBAdobe PDFThumbnail


Items in Open Research are protected by copyright, with all rights reserved, unless otherwise indicated.

Updated:  19 May 2020/ Responsible Officer:  University Librarian/ Page Contact:  Library Systems & Web Coordinator