OʀᴛʜᴏFɪʟᴇS via @QuanBot
Figures below are the 6-week postsurgical anteroposterior hip radiograph and current radiograph of a 54-year-old avid hiker who returns for routine follow-up 3 years after an uncomplicated uncemented modular metal-on-metal hip replacement. He reports mild activity-related aching diffusely around the right hip region, but does not feel restricted with his activities. Examination reveals no local tenderness, a well-healed incision, and mild discomfort at the extremes of rotation. An erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are obtained, showing 9 mm/h (reference range, 0-20 mm/h) and 2.0 mg/L (reference range, 0.08-3.1 mg/L), respectively. What is the etiology of the radiographic finding?
( @OrthoTalK )
▪️ 63% (55) Osteolysis secondary to metal particle wear (an adverse reaction to metal debris)
????????
▫️ 19% (17) Osteolysis secondary to loosening of the femoral implant
??
▪️ 8% (7) Metastatic lesion to the proximal femur
?
▫️ 8% (7) Deep periprosthetic joint infection
?
👮????? ????????
👥 86 - gross votes
( @OrthoTalK )
▪️ 63% (55) Osteolysis secondary to metal particle wear (an adverse reaction to metal debris)
????????
▫️ 19% (17) Osteolysis secondary to loosening of the femoral implant
??
▪️ 8% (7) Metastatic lesion to the proximal femur
?
▫️ 8% (7) Deep periprosthetic joint infection
?
👮????? ????????
👥 86 - gross votes
👍2❤1
Forwarded from OʀᴛʜᴏFɪʟᴇS (Salam Al-Abayachi)
A quick review for ABO
( American Board of Orthopedics )
before their final exam
Click the link below to go back in the
history of the channel to get these
lectures and videos
https://news.1rj.ru/str/OrthoFileS/227
( American Board of Orthopedics )
before their final exam
Click the link below to go back in the
history of the channel to get these
lectures and videos
https://news.1rj.ru/str/OrthoFileS/227
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OʀᴛʜᴏFɪʟᴇS