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Osteoarthritis of the hip: agreement between joint space width measurements on standing and supine conventional radiographs
OBJECTIVE To assess the effect of standing position on joint space width (JSW) measurements of the hips with and without osteoarthritis (OA) on pelvic radiographs. METHODS Adult patients aged 18 or more had pelvic anteroposterior conventional radiographs standing and supine performed by a single rad...
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Published in: | Annals of the rheumatic diseases 1998-09, Vol.57 (9), p.519-523 |
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creator | Auleley, Guy-Robert Rousselin, Benoît Ayral, Xavier Edouard-Noel, Rachel Dougados, Maxime Ravaud, Philippe |
description | OBJECTIVE To assess the effect of standing position on joint space width (JSW) measurements of the hips with and without osteoarthritis (OA) on pelvic radiographs. METHODS Adult patients aged 18 or more had pelvic anteroposterior conventional radiographs standing and supine performed by a single radiologist in the same radiology unit according to standardised guidelines. JSW measurements in mm were made by a single reader blind to patients’ identity and type of view, using a 0.1 mm graduated magnifying glass directly laid over the radiograph, at the narrowest point for OA hips or at the vertical joint space for non-OA hips. Agreement of JSW between both views was assessed using the Bland and Altman graphical analysis. RESULTS JSW was greater on standing than supine radiographs, for example, 7.1% for OA hips. Mean (SD) differences and limits of agreement (mm) between both views were 0.08 (0.27) and −0.46 to 0.62 for the 70 non-OA hips, 0.02 (0.31) and −0.60 to 0.64 for the 46 OA hips. Corresponding 95% confidence intervals of mean differences were 0.02, −0.14 mm and −0.07, −0.11 mm. CONCLUSIONS Measurements of JSW of the hip on pelvic standing and supine radiographs are concordant. Changes less than or equal to 0.64 mm between the two views are similar or inferior to radiological progression of OA. |
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METHODS Adult patients aged 18 or more had pelvic anteroposterior conventional radiographs standing and supine performed by a single radiologist in the same radiology unit according to standardised guidelines. JSW measurements in mm were made by a single reader blind to patients’ identity and type of view, using a 0.1 mm graduated magnifying glass directly laid over the radiograph, at the narrowest point for OA hips or at the vertical joint space for non-OA hips. Agreement of JSW between both views was assessed using the Bland and Altman graphical analysis. RESULTS JSW was greater on standing than supine radiographs, for example, 7.1% for OA hips. Mean (SD) differences and limits of agreement (mm) between both views were 0.08 (0.27) and −0.46 to 0.62 for the 70 non-OA hips, 0.02 (0.31) and −0.60 to 0.64 for the 46 OA hips. Corresponding 95% confidence intervals of mean differences were 0.02, −0.14 mm and −0.07, −0.11 mm. CONCLUSIONS Measurements of JSW of the hip on pelvic standing and supine radiographs are concordant. Changes less than or equal to 0.64 mm between the two views are similar or inferior to radiological progression of OA.</description><identifier>ISSN: 0003-4967</identifier><identifier>EISSN: 1468-2060</identifier><identifier>DOI: 10.1136/ard.57.9.519</identifier><identifier>PMID: 9849309</identifier><identifier>CODEN: ARDIAO</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anniversaries ; Arthritis ; Biological and medical sciences ; Clinical trials ; Extended Reports ; Female ; Fractures ; hip ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; joint space width ; Male ; Medical sciences ; Middle Aged ; Osteoarthritis ; Osteoarthritis, Hip - diagnostic imaging ; Osteoarthritis, Hip - pathology ; Osteoarticular system. Muscles ; Patients ; Posture ; Prostheses ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; radiograph ; Radiography - methods ; Single-Blind Method ; Supine Position</subject><ispartof>Annals of the rheumatic diseases, 1998-09, Vol.57 (9), p.519-523</ispartof><rights>Annals of the Rheumatic Diseases</rights><rights>1998 INIST-CNRS</rights><rights>Copyright: 1998 Annals of the Rheumatic Diseases</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b572t-240b77f58e9f93c14f8c33cdb679205abd2a3297917f2e02f31f4ef766641f623</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1752744/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1752744/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2414391$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9849309$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Auleley, Guy-Robert</creatorcontrib><creatorcontrib>Rousselin, Benoît</creatorcontrib><creatorcontrib>Ayral, Xavier</creatorcontrib><creatorcontrib>Edouard-Noel, Rachel</creatorcontrib><creatorcontrib>Dougados, Maxime</creatorcontrib><creatorcontrib>Ravaud, Philippe</creatorcontrib><title>Osteoarthritis of the hip: agreement between joint space width measurements on standing and supine conventional radiographs</title><title>Annals of the rheumatic diseases</title><addtitle>Ann Rheum Dis</addtitle><description>OBJECTIVE To assess the effect of standing position on joint space width (JSW) measurements of the hips with and without osteoarthritis (OA) on pelvic radiographs. METHODS Adult patients aged 18 or more had pelvic anteroposterior conventional radiographs standing and supine performed by a single radiologist in the same radiology unit according to standardised guidelines. JSW measurements in mm were made by a single reader blind to patients’ identity and type of view, using a 0.1 mm graduated magnifying glass directly laid over the radiograph, at the narrowest point for OA hips or at the vertical joint space for non-OA hips. Agreement of JSW between both views was assessed using the Bland and Altman graphical analysis. RESULTS JSW was greater on standing than supine radiographs, for example, 7.1% for OA hips. Mean (SD) differences and limits of agreement (mm) between both views were 0.08 (0.27) and −0.46 to 0.62 for the 70 non-OA hips, 0.02 (0.31) and −0.60 to 0.64 for the 46 OA hips. Corresponding 95% confidence intervals of mean differences were 0.02, −0.14 mm and −0.07, −0.11 mm. CONCLUSIONS Measurements of JSW of the hip on pelvic standing and supine radiographs are concordant. Changes less than or equal to 0.64 mm between the two views are similar or inferior to radiological progression of OA.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anniversaries</subject><subject>Arthritis</subject><subject>Biological and medical sciences</subject><subject>Clinical trials</subject><subject>Extended Reports</subject><subject>Female</subject><subject>Fractures</subject><subject>hip</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>joint space width</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Hip - diagnostic imaging</subject><subject>Osteoarthritis, Hip - pathology</subject><subject>Osteoarticular system. Muscles</subject><subject>Patients</subject><subject>Posture</subject><subject>Prostheses</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>radiograph</subject><subject>Radiography - methods</subject><subject>Single-Blind Method</subject><subject>Supine Position</subject><issn>0003-4967</issn><issn>1468-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNp9kUuLFDEUhYMoYzu6cysEFN1YbV5VSVwIMviCYUZEZzGbkEolXWmrkjKpmlH882bsplEXri6X8-XkXA4ADzFaY0ybFzp165qv5brG8hZYYdaIiqAG3QYrhBCtmGz4XXAv521ZkcDiCBxJwSRFcgV-nufZRp3mPvnZZxgdnHsLez-9hHqTrB1tmGFr52trA9xGX7Y8aWPhte_mHo5W5yX9psrjAPOsQ-fDBpYB8zL5YKGJ4aroPgY9wKQ7HzdJT32-D-44PWT7YD-PwZe3bz6fvK9Oz999OHl9WrU1J3NFGGo5d7Ww0klqMHPCUGq6tuGSoFq3HdGUSC4xd8Qi4ih2zDreNA3DriH0GLza-U5LO9rOlCxJD2pKftTph4raq7-V4Hu1iVcK85pwxorB071Bit8Wm2c1-mzsMOhg45IVRxhzwW5-evwPuI1LKmfn4sUF4kQQUajnO8qkmHOy7hAFI3VTqSqVqporqUqlBX_0Z_wDvO-w6E_2us5GDy7pYHw-YIRhRiUuWLXDfGn8-0HW6atqOOW1Ors4UZ8u-cdLcXGmeOGf7fh23P4_4C9g2Mgx</recordid><startdate>19980901</startdate><enddate>19980901</enddate><creator>Auleley, Guy-Robert</creator><creator>Rousselin, Benoît</creator><creator>Ayral, Xavier</creator><creator>Edouard-Noel, Rachel</creator><creator>Dougados, Maxime</creator><creator>Ravaud, Philippe</creator><general>BMJ Publishing Group Ltd and European League Against Rheumatism</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19980901</creationdate><title>Osteoarthritis of the hip: agreement between joint space width measurements on standing and supine conventional radiographs</title><author>Auleley, Guy-Robert ; Rousselin, Benoît ; Ayral, Xavier ; Edouard-Noel, Rachel ; Dougados, Maxime ; Ravaud, Philippe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b572t-240b77f58e9f93c14f8c33cdb679205abd2a3297917f2e02f31f4ef766641f623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anniversaries</topic><topic>Arthritis</topic><topic>Biological and medical sciences</topic><topic>Clinical trials</topic><topic>Extended Reports</topic><topic>Female</topic><topic>Fractures</topic><topic>hip</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>joint space width</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Hip - diagnostic imaging</topic><topic>Osteoarthritis, Hip - pathology</topic><topic>Osteoarticular system. Muscles</topic><topic>Patients</topic><topic>Posture</topic><topic>Prostheses</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>radiograph</topic><topic>Radiography - methods</topic><topic>Single-Blind Method</topic><topic>Supine Position</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Auleley, Guy-Robert</creatorcontrib><creatorcontrib>Rousselin, Benoît</creatorcontrib><creatorcontrib>Ayral, Xavier</creatorcontrib><creatorcontrib>Edouard-Noel, Rachel</creatorcontrib><creatorcontrib>Dougados, Maxime</creatorcontrib><creatorcontrib>Ravaud, Philippe</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Science Journals</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of the rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Auleley, Guy-Robert</au><au>Rousselin, Benoît</au><au>Ayral, Xavier</au><au>Edouard-Noel, Rachel</au><au>Dougados, Maxime</au><au>Ravaud, Philippe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Osteoarthritis of the hip: agreement between joint space width measurements on standing and supine conventional radiographs</atitle><jtitle>Annals of the rheumatic diseases</jtitle><addtitle>Ann Rheum Dis</addtitle><date>1998-09-01</date><risdate>1998</risdate><volume>57</volume><issue>9</issue><spage>519</spage><epage>523</epage><pages>519-523</pages><issn>0003-4967</issn><eissn>1468-2060</eissn><coden>ARDIAO</coden><abstract>OBJECTIVE To assess the effect of standing position on joint space width (JSW) measurements of the hips with and without osteoarthritis (OA) on pelvic radiographs. METHODS Adult patients aged 18 or more had pelvic anteroposterior conventional radiographs standing and supine performed by a single radiologist in the same radiology unit according to standardised guidelines. JSW measurements in mm were made by a single reader blind to patients’ identity and type of view, using a 0.1 mm graduated magnifying glass directly laid over the radiograph, at the narrowest point for OA hips or at the vertical joint space for non-OA hips. Agreement of JSW between both views was assessed using the Bland and Altman graphical analysis. RESULTS JSW was greater on standing than supine radiographs, for example, 7.1% for OA hips. Mean (SD) differences and limits of agreement (mm) between both views were 0.08 (0.27) and −0.46 to 0.62 for the 70 non-OA hips, 0.02 (0.31) and −0.60 to 0.64 for the 46 OA hips. Corresponding 95% confidence intervals of mean differences were 0.02, −0.14 mm and −0.07, −0.11 mm. CONCLUSIONS Measurements of JSW of the hip on pelvic standing and supine radiographs are concordant. Changes less than or equal to 0.64 mm between the two views are similar or inferior to radiological progression of OA.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and European League Against Rheumatism</pub><pmid>9849309</pmid><doi>10.1136/ard.57.9.519</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Aged, 80 and over Anniversaries Arthritis Biological and medical sciences Clinical trials Extended Reports Female Fractures hip Humans Investigative techniques, diagnostic techniques (general aspects) joint space width Male Medical sciences Middle Aged Osteoarthritis Osteoarthritis, Hip - diagnostic imaging Osteoarthritis, Hip - pathology Osteoarticular system. Muscles Patients Posture Prostheses Radiodiagnosis. Nmr imagery. Nmr spectrometry radiograph Radiography - methods Single-Blind Method Supine Position |
title | Osteoarthritis of the hip: agreement between joint space width measurements on standing and supine conventional radiographs |
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