TY - JOUR T1 - Primary Osteoarthritis of the Hip: A Genetic Disease Caused by European Genetic Variants AU - Hoaglund, Franklin T. Y1 - 2013/03/06 N1 - 10.2106/JBJS.L.00077 JO - The Journal of Bone & Joint Surgery SP - 463 EP - 468 VL - 95 IS - 5 N2 - ➤ Primary osteoarthritis of the hip is a separate phenotype that occurs at a rate of 3% to 6% in the populations of the world with European ancestry.➤ In all non-European populations, there is a consistent rarity of primary osteoarthritis that suggests a different etiology for these few patients.➤ Family, sibling, and twin studies prove primary osteoarthritis to be a genetic disease with a 50% heritability caused by European genetic variants.➤ The genetic basis is reinforced by the lower rate of primary osteoarthritis in American minorities consistent with their degree of European gene admixture.➤ Whether the mechanism of degeneration of primary osteoarthritis may be secondary through a morphologic deformity, such as femoroacetabular impingement, remains unknown.➤ The virtual absence of the disease in non-Europeans indicates that the European gene component is necessary for the expression of this separate phenotype of osteoarthritis. SN - 0021-9355 M3 - doi: 10.2106/JBJS.L.00077 UR - http://dx.doi.org/10.2106/JBJS.L.00077 ER -