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

PRE-OP RADIOGRAPH

Click on the image for a closer look

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

 
 

PRE-OP CT SCAN

Click on the image for a closer look

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.