Semin Musculoskelet Radiol 2013; 17(03): 316-327
DOI: 10.1055/s-0033-1348098
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Imaging of Hip Arthroplasty

Jan Fritz
1   Department of Radiology and Imaging, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York
,
Brett Lurie
1   Department of Radiology and Imaging, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York
,
Theodore T. Miller
1   Department of Radiology and Imaging, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York
› Author Affiliations
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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