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Semin Musculoskelet Radiol 2013; 17(03): 316-327
DOI: 10.1055/s-0033-1348098
DOI: 10.1055/s-0033-1348098
Imaging of Hip Arthroplasty
Further Information
Publication History
Publication Date:
20 June 2013 (online)
Abstract
Imaging studies are central to the evaluation of persistent or recurrent symptoms after hip arthroplasty. The evaluation starts with radiographs and may be followed by arthrography, aspiration, scintigraphy, sonography, computed tomography, and MR imaging. Common etiologies of a painful or dysfunctional hip arthroplasty are mechanical loosening, polyethylene wear–induced osteolysis, adverse local tissue reaction to metal wear products, infection, fractures, heterotopic ossification, tendinopathy, and nerve injury. MR imaging with optimized protocols and dedicated techniques for metal artifact reduction is the most comprehensive imaging modality. In this article, we discuss and illustrate the imaging appearances of these conditions with a focus on the MR imaging evaluation.
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References
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