Evidence map›Paper›PMID 35811326›Full record

ArticleJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2022

Machine Learning-Derived Acetabular Dysplasia and Cam Morphology Are Features of Severe Hip Osteoarthritis: Findings From UK Biobank.

Monika Frysz, Benjamin G Faber, Raja Ebsim, Fiona R Saunders, Claudia Lindner, Jennifer S Gregory, Richard M Aspden, Nicholas C Harvey, Tim Cootes, Jon H Tobias

Open access · hybridAbstract read
In one paragraph

Article in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  4. Is cam morphology a cause of osteoarthritis?Nature reviews. Rheumatology · 2026
    Article
  5. DXA-derived hip shape is associated with hip fracture: a longitudinal study of 38 123 UK Biobank participants.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
  6. [Advances in application of digital orthopedic technology in total hip arthroplasty for developmental dysplasia of hip].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
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  14. Femoral neck width genetic risk score is a novel independent risk factor for hip fractures.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Monika FryszMusculoskeletal Research Unit, University of Bristol, Bristol, UK.ORCID 0000-0001-5729-778X
Benjamin G FaberMusculoskeletal Research Unit, University of Bristol, Bristol, UK.ORCID 0000-0003-4102-0190
Raja EbsimDivision of Informatics, Imaging and Data Sciences, The University of Manchester, Manchester, UK.
Fiona R SaundersCentre for Arthritis and Musculoskeletal Health, University of Aberdeen, Aberdeen, UK.
Claudia LindnerDivision of Informatics, Imaging and Data Sciences, The University of Manchester, Manchester, UK.
Jennifer S GregoryCentre for Arthritis and Musculoskeletal Health, University of Aberdeen, Aberdeen, UK.ORCID 0000-0002-6328-4560
Richard M AspdenCentre for Arthritis and Musculoskeletal Health, University of Aberdeen, Aberdeen, UK.
Nicholas C HarveyMedical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.ORCID 0000-0002-8194-2512
Tim CootesDivision of Informatics, Imaging and Data Sciences, The University of Manchester, Manchester, UK.
Jon H TobiasMusculoskeletal Research Unit, University of Bristol, Bristol, UK.ORCID 0000-0002-7475-3932
University of Aberdeen · GBUniversity of Bristol · GBUniversity of Manchester · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_PC_21003Medical Research Council MC_PC_21022Medical Research Council MC_QA137853Medical Research Council MR/S00405X/1Medical Research Council MR/S021280/1Wellcome Trust 209233Wellcome Trust 209233/Z/17/ZWellcome Trust 223267/Z/21/Z
6 · The paper itself

Abstract

The contribution of shape changes to hip osteoarthritis (HOA) remains unclear, as is the extent to which these vary according to HOA severity. In the present study, we used statistical shape modeling (SSM) to evaluate relationships between hip shape and HOA of different severities using UK Biobank DXA images. We performed a cross-sectional study in individuals with left hip dual-energy X-ray absorptiometry (DXA) scans. Statistical shape modeling (SSM) was used to quantify hip shape. Radiographic HOA (rHOA) was classified using osteophyte size and number and joint space narrowing. HOA outcomes ranged in severity from moderate (grade 2) to severe (grade ≥3) rHOA, hospital-diagnosed HOA, and subsequent total hip replacement (THR). Confounder-adjusted logistic regression between the top 10 hip shape modes (HSMs) and OA outcomes was performed. Further models adjusted for alpha angle (AA) and lateral center-edge angle (LCEA), reflecting acetabular dysplasia and cam morphology, respectively. Composite HSM figures were produced combining HSMs associated with separate OA outcomes. A total of 40,311 individuals were included (mean 63.7 years, 47.8% male), of whom 5.7% had grade 2 rHOA, 1.7% grade ≥3 rHOA, 1.3% hospital-diagnosed HOA, and 0.6% underwent THR. Composite HSM figures for grade 2 rHOA revealed femoral neck widening, increased acetabular coverage, and enlarged lesser and greater trochanters. In contrast, grade ≥3 rHOA, hospital-diagnosed HOA, and THR were suggestive of cam morphology and reduced acetabular coverage. Associations between HSMs depicting cam morphology and reduced acetabular coverage and more severe HOA were attenuated by AA and LCEA adjustment, respectively. Relationships between hip shape and HOA differed according to severity. Notably, cam morphology and acetabular dysplasia were features of severe HOA, but unrelated to moderate disease, suggesting possible prognostic utility. © 2022 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).

Indexed as

Osteoarthritis, HipBiological Specimen BanksCross-Sectional StudiesFemaleHip JointHumansMachine LearningMaleUnited KingdomACETABULAR DYSPLASIACAM MORPHOLOGYHIP SHAPEOSTEOARTHRITISSTATISTICAL SHAPE MODELING

Identifiers

PMID35811326
PMCPMC9545366
OpenAlexW4285011872

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.