Magnetic Resonance Imaging in the Diagnosis and Management of Hip Pain After Total Hip Arthroplasty

被引:25
作者
Cooper, H. John [1 ]
Ranawat, Amar S. [1 ]
Potter, Hollis G. [2 ]
Foo, Li Foong [2 ]
Jawetz, Shari T. [2 ]
Ranawat, Chitranjan S. [1 ]
机构
[1] Lenox Hill Hosp, Dept Orthopaed Surg, New York, NY 10021 USA
[2] Hosp Special Surg, Dept Radiol, Div Magnet Resonance Imaging, New York, NY 10021 USA
关键词
total hip arthroplasty; magnetic resonance imaging; osteolysis; synovitis; periprosthetic inflammation; ACETABULAR OSTEOLYSIS; PELVIC OSTEOLYSIS; REPLACEMENT; RADIOGRAPHS; MRI;
D O I
10.1016/j.arth.2008.04.023
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Evaluation of pain following total hip arthroplasty (THA) call be challenging in the absence of radiographic pathology. This Study aimed to examine the diagnostic utility of magnetic resonance imaging (MRI) in the evaluation of enigmatic hill pain following THA. We reviewed a series of patients who were evaluated with MRI after presenting with enigmatic hip pain following THA. MRI was able to demonstrate pathology in the periprosthetic tissues in all hips with minimal artifact. Patients underwent a range of conservative and operative interventions depending oil the underlying pathology. If used discriminately in situations Where pathology cannot be detected by conventional methods, MRI is a highly effective modality that call aid in the diagnosis of a wide range of disorders thereby allowing the clinician to determine the most appropriate intervention.
引用
收藏
页码:661 / 667
页数:7
相关论文
共 24 条
  • [1] Berry Daniel J., 1996, P1159
  • [2] Bozic KJ, 2004, CLIN ORTHOP RELAT R, P18
  • [3] Pain levels after total hip replacement - Their use as endpoints for survival analysis
    Britton, AR
    Murray, DW
    Bulstrode, CJ
    McPherson, K
    Denham, RA
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1997, 79B (01): : 93 - 98
  • [4] CARLSSON AS, 1984, CLIN ORTHOP RELAT R, P145
  • [5] Radiographic definition of pelvic osteolysis following total hip arthroplasty
    Claus, AM
    Engh, CA
    Sychterz, CJ
    Xenos, JS
    Orishimo, KF
    Engh, CA
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (08) : 1519 - 1526
  • [6] Duffy PJ, 2005, J BONE JOINT SURG AM, V87A, P2566
  • [7] Interobserver and intraobserver variability in radiographic assessment of osteolysis
    Engh, CA
    Sychterz, CJ
    Young, AM
    Pollock, DC
    Toomey, SD
    Engh, CA
    [J]. JOURNAL OF ARTHROPLASTY, 2002, 17 (06) : 752 - 759
  • [8] Iliopsoas bursitis: Diagnosis by MRI
    Kozlov, DB
    Sonin, AH
    [J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1998, 22 (04) : 625 - 628
  • [9] Cost-effectiveness of early surgical intervention in silent osteolysis
    Lavernia, CJ
    [J]. JOURNAL OF ARTHROPLASTY, 1998, 13 (03) : 277 - 279
  • [10] Rates and outcomes of primary and revision total hip replacement in the United States Medicare population
    Mahomed, NN
    Barrett, JA
    Katz, JN
    Phillips, CB
    Losina, E
    Lew, RA
    Guadagnoli, E
    Harris, WH
    Poss, R
    Baron, JA
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (01) : 27 - 32