@corycalendinemd: Hip Osteoarthritis Progression in X-ray Imaging . Hip radiographs serve as critical diagnostic tools that reveal structural changes occurring within the joint over time, providing objective evidence of disease severity/progression. When evaluating #hiposteoarthritis: 🔹Joint Space Narrowing: one of the most significant indicators, reflecting the gradual loss of protective cartilage between the femoral head - acetabulum. This narrowing can be measured at the narrowest point using graduated instruments. Progressive joint space loss correlates directly with cartilage degeneration + often predicts future functional limitations. 🔹Osteophyte (Bone spurs): bone spurs develop along joint margins as the body attempts to stabilize the deteriorating joint. Radiologists grade osteophytes at multiple locations including the superior/inferior aspects of both the femoral head and acetabulum. The presence and size of osteophytes help determine disease stage and progression velocity. 🔹Subchondral Sclerosis: increased density of bone beneath the cartilage surface, appears as bright white areas on radiographs - indicating altered mechanical stress distribution within the joint, an adaptive response to cartilage loss that provides valuable information about disease activity. 🔹Kellgren and Lawrence grading system remains widely utilized, classifying hip osteoarthritis on a scale from 0-4 based on the combined presence of osteophytes, joint space narrowing, sclerosis, and bone deformity. Grade 0 indicates no osteoarthritis, while grade 4 represents severe disease. The OARSI atlas offers a more detailed semi-quantitative approach, allowing precise assessment of individual radiographic features. Research indicates that certain radiographic parameters predict accelerated osteoarthritis progression: Acetabular under-coverage, cam-type morphology, and baseline joint space measurements help identify patients at elevated risk for rapid deterioration. #hiparthritis #radiology . 👇 SHARE your #hipxray tips & tricks

Bone Doctor - Joint Pain MD
Bone Doctor - Joint Pain MD
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Friday 24 October 2025 17:46:39 GMT
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jgunnk7
John :
My X-ray shows accute to severe arthritis left hip. Pain is absolutely horrible all the time. Not sure what to do. No insurance. Can’t afford it. Doesn’t cover much if I could. What a mess
2026-04-08 01:18:18
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victorgalaviz4
Victor g :
2028 will have regeneration cartilage look it up
2026-05-07 02:20:17
1
tianalicmhtherapist
Dayanna-2cents :
What if you have everything you mentioned.?
2026-05-02 03:54:01
1
shadowbannedtruthteller
🆘 WE ARE NOT OK 🆘 :
Question: when a hip is end stage with sclerosis, spurs and narrowing, does recovering from an anterior hip replacement become more difficult due to the surgeon having to "fix" these issues? Is the recovery more painful?
2026-01-09 20:42:19
0
roxie2035
Mary McGrath :
Mine was terrible. Doctors didn’t know how I lasted so long before getting my new hip in June.
2025-10-26 14:56:53
3
ronnieadams88
Ronnie :
then it stopped hurting and I was still limping a little bit and I noticed my one leg was about 3 inches shorter than the other one I go in to get an x-ray and they tell me the ball of my hip is completely gone so I'm assuming the femoral head had lost the blood supply and they didn't catch it I don't know
2025-11-01 08:11:53
1
hrivyswife2001
Hrivyswife :
I would love to send you my husband's. He was so grateful to have his replacement. He is 8bweeks post op and doing absolutely amazing!!!
2025-10-24 19:41:26
2
suri01310
HeySuri :
I had impingement and labrum repair a year ago and still not 100% unfortunately. Got another MRI that still shows impingement but doc said MRIs are not fully accurate, just shadows, up PT and stretch more 😒 Could it still show impingement if the impingement was “corrected” a year ago?? I feel like he’s doesn’t want to admit surgery wasn’t successful or it wasn’t fully taken care of 😣
2025-10-26 19:40:02
0
aeleric
alan :
here's mine
2025-10-24 22:28:23
2
szpiku0
Szpiku0 :
Could You say more about Knee Joint Distraction (KJD). I am a patient after acute lymphoblastic leukemia, chemotherapy, steroid therapy that causes cartilage delamination of the knee and bone necrosis. Is KJD a chance to avoid knee replacement?
2025-10-26 13:59:47
1
badini_duhok
Hassan Abdulkareem :
2025-10-25 14:39:44
2
ednaaddico
sweet ama :
pls
2025-12-26 00:34:19
0
dianaowen.com
Diana Owen :
True 💯👈👏👏👏👏
2025-10-24 21:33:07
2
screwed.up.limbs
screwed.up.limbs :
I have hip dysplasia here’s my hip
2025-11-09 07:55:16
2
topdrawerathlete
user3421452443900 :
Had my hip surgery 5days ago in and out in one day. Started my exercises 2days ago. It cost me nothing as I live in Canada
2025-10-27 21:04:38
1
luciano.battloffsson
Luciano Båttloffsson :
Stopped by to say hi to the coolest doc on TikTok! I’ve had avascular necrosis or the hip for two years now. 32yrs old. Trying to suck it up until I’m old enough for a hip replacement.
2025-10-24 20:42:41
1
squirrelwarrior
squirrelwarrior :
2025-12-06 22:47:59
0
ronnieadams88
Ronnie :
my one was normal when it was hurting so bad I couldn't stand it and they kept telling me it was normal I went back a year later and now there's no
2025-10-25 00:15:26
3
1973devoatok
Michael :
I have had three replacements on same hip I have lost most movement
2025-11-05 05:34:49
0
johnspeck8
🔥Oilfield Trash🔥❌ :
2025-10-29 08:51:57
0
annebardusch
annebardusch :
Had the right hip replaced in 2024. Amazing! The left hip is being replaced at the end of the month. So excited! Will be pain free and have a normal gait.
2025-11-20 14:26:09
0
krkchanges
Faith by Guidance!Kathy :
Well, my X-ray look mad crazy. I have these in both hips and in sacroiliac totally looks bone on bone .
2026-06-27 18:34:35
0
leslieheerman
Leslie Heerman :
Mine were awful. My new ones are great.
2025-11-24 19:26:39
0
ronnieadams88
Ronnie :
there is now no femoral head even existing
2025-10-25 00:15:37
1
ilovemywholeface_
￴ ￴ ￴ ￴ ￴ ￴￴ ￴ ￴ ￴ ￴ ￴ ￴￴ ￴ ￴ :
this is my x ray i have avn
2026-03-17 23:04:19
0
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