Metal-on-metal hip resurfacings--a radiological perspective.

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Title: Metal-on-metal hip resurfacings--a radiological perspective.
Authors: Chen Z (AUTHOR), Pandit H (AUTHOR), Taylor A (AUTHOR), Gill H (AUTHOR), Murray D (AUTHOR), Ostlere S (AUTHOR), Chen, Zhongbo1 (AUTHOR), Pandit, Hemant (AUTHOR), Taylor, Adrian (AUTHOR), Gill, Harinderjit (AUTHOR), Murray, David (AUTHOR), Ostlere, Simon (AUTHOR)
Source: European Radiology. Mar2011, Vol. 21 Issue 3, p485-491. 7p.
Abstract: It is important to be aware of the various complications related to resurfacing arthroplasty of the hip (RSA) and the spectrum of findings that may be encountered on imaging. The bone conserving metal-on-metal (MOM) hip resurfacing has become increasingly popular over the last ten years, especially in young and active patients. Initial reports have been encouraging, but long-term outcome is still unknown. Early post operative complications are rare and have been well documented in the literature. Medium and long term complications are less well understood. A rare but important problem seen at this stage is the appearance of a cystic or solid periarticular reactive mass, which occurs predominately in women and usually affects both hips when seen in patients with bilateral RSAs. The following imaging findings are illustrated and their significance discussed; Uncomplicated hip resurfacing arthroplasty, radiolucency around the femoral peg, femoral neck fracture, loosening and infection, suboptimal component position, femoral notching, dislocation, heterotopic ossification, femoral neck thinning and reactive masses. The radiologist should be aware of the normal radiographic appearances and the variety of complications that may occur following RSA and should recommend ultrasound or MRI in patients with an unexplained symptomatic hip and normal radiographs. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Metal-on-metal hip resurfacings--a radiological perspective.
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  Data: <searchLink fieldCode="AR" term="%22Chen+Z%22">Chen Z</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pandit+H%22">Pandit H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Taylor+A%22">Taylor A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gill+H%22">Gill H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murray+D%22">Murray D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ostlere+S%22">Ostlere S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Zhongbo%22">Chen, Zhongbo</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pandit%2C+Hemant%22">Pandit, Hemant</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Taylor%2C+Adrian%22">Taylor, Adrian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gill%2C+Harinderjit%22">Gill, Harinderjit</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murray%2C+David%22">Murray, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ostlere%2C+Simon%22">Ostlere, Simon</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Mar2011, Vol. 21 Issue 3, p485-491. 7p.
– Name: Abstract
  Label: Abstract
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  Data: It is important to be aware of the various complications related to resurfacing arthroplasty of the hip (RSA) and the spectrum of findings that may be encountered on imaging. The bone conserving metal-on-metal (MOM) hip resurfacing has become increasingly popular over the last ten years, especially in young and active patients. Initial reports have been encouraging, but long-term outcome is still unknown. Early post operative complications are rare and have been well documented in the literature. Medium and long term complications are less well understood. A rare but important problem seen at this stage is the appearance of a cystic or solid periarticular reactive mass, which occurs predominately in women and usually affects both hips when seen in patients with bilateral RSAs. The following imaging findings are illustrated and their significance discussed; Uncomplicated hip resurfacing arthroplasty, radiolucency around the femoral peg, femoral neck fracture, loosening and infection, suboptimal component position, femoral notching, dislocation, heterotopic ossification, femoral neck thinning and reactive masses. The radiologist should be aware of the normal radiographic appearances and the variety of complications that may occur following RSA and should recommend ultrasound or MRI in patients with an unexplained symptomatic hip and normal radiographs. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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