Evidence map›Paper›PMID 40621812›Full record

ArticleArthritis care & research2025

Prevalence of Pincer Morphology in Early Adolescents From the General Population: A Population-Based Study.

Delong Chen, Fleur Boel, Suzanne de Vos-Jakobs, Pim van Klij, Michiel M A van Buuren, Sita M A Bierma-Zeinstra, Rintje Agricola

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Article in Arthritis care & research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Delong ChenThe Generation R Study Group, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, the Netherlands.ORCID 0009-0004-6570-5172
Fleur BoelThe Generation R Study Group, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0002-0421-9478
Suzanne de Vos-JakobsDepartment of Orthopaedics and Sports Medicine, Erasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Pim van KlijDepartment of Orthopedic Surgery and Sports Medicine, Academic Center for Evidence Based Medicine, Amsterdam IOC Center ACHSS, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.
Michiel M A van BuurenDepartment of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Sita M A Bierma-ZeinstraDepartment of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Rintje AgricolaDepartment of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0002-0645-093X

Funding

China Scholarship Council 202108430032This publication is part of the Flagship Healthy Joints which is (partly) financed by Convergence Health and Technology
6 · The paper itself

Abstract

objectivePincer morphology can lead to femoroacetabular impingement syndrome (FAIS) and may be a modifiable risk factor for hip osteoarthritis (OA). Currently, no studies investigate the prevalence of pincer morphology in early adolescence, which is the period when this bony shape likely develops. The purpose of this study was to estimate the prevalence and birth-assigned sex distribution of pincer morphology in early adolescents from the general population in the Netherlands.

methodsThis study was embedded in the Generation R Study, a population-based prospective cohort in Rotterdam, the Netherlands. Around the age of 13 years, participants underwent high-resolution dual-energy x-ray absorptiometry of their full-body and right hip. The lateral center edge angle (LCEA) was automatically determined based on landmarks outlining the hip contour, and pincer morphology was defined as a LCEA ≥ 40°. The overall and birth-assigned sex-specific prevalence was presented as a percentage with 95% confidence interval (CI).

resultsA total of 3,986 adolescents (median age 13.5 years [2.5th-97.5th percentile: 13.2-14.6]; 46.8% male) were included. The overall prevalence of pincer morphology was 3.1% (95% CI 2.6-3.6). The prevalence in male and female adolescents was 3.0% (95% CI 2.2-3.7) and 3.3% (95% CI 2.5-4.0), respectively.

conclusionAmong early adolescents from the general population in the Netherlands, the estimated prevalence of pincer morphology was 3.1%. Male and female adolescents had a similar prevalence of pincer morphology. These findings could inform the timing of prevention strategies for pincer morphology and potentially reduce the risk of FAIS and hip OA.

Indexed as

Femoracetabular ImpingementHip JointAbsorptiometry, PhotonAdolescentChildFemaleHumansMaleNetherlandsPrevalenceProspective StudiesRisk Factors

Identifiers

PMID40621812
PMCPMC12750130

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