Clinical History, Examination and blood test results

  • This lady had a previous right hip metal on metal resurfacing (BHR).  She developed pain in her right hip several years later.

Imaging Results


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Possible signs of osteolysis (disappearance of bone) around the cup on the right hip.



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CT scans confirm significant osteolysis around the acetabular cup.

Learning Points

  • If there is a suspicion of osteolysis on routine radiographs, a CT scan is useful to confirm the diagnosis and evaluate the extent of bone destruction.