No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript. For patients who had undergone total hip arthroplasty surgery, an anteroposterior (AP) view of the X-ray images for the patients with fixed (control group). No funds were received in support of this work. Patients consent: The authors, their immediate families, and any research foundations with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.The manuscript submitted does not contain information about medical device(s)/drug(s). No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript. ![]() The manuscript submitted does not contain information about medical device(s)/drug(s). Removal of the screws after cup integration can be a conservative and effective strategy to treat the pain.Ĭonflict of Interest: The authors, their immediate families, and any research foundations with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article. Occasionally other tests, such as a magnetic resonance imaging (MRI) scan, may be needed to determine the condition of the bone and soft tissues of your hip. These images help to determine the extent of damage or deformity in your hip. In the clinical study of persistent pain following a total hip replacement, screws length, and protrusion should be considered and ruled out as a possible and treatable etiology. This will assess hip mobility, strength, and alignment. Our case presents an atypical cause of pain due to surrounding tissue lesions by offending screws with complete resolution after only screw removal. Revision surgery was performed, removing the screws, and implanting a new liner with complete remission of symptoms. The magnetic resonance depicted the conflict of the screws with the surrounding soft tissues, in close relation to the iliopsoas muscle, the external obturator muscle and the sciatic nerve. At left is an X-ray of a patients hip with rheumatoid arthritis. It can show broken bones or a dislocated joint. After ruling out infection and loosening, an infiltration of iliopsoas muscle was performed, with only temporary improvement. X-ray images taken before and after a hip replacement operation. A hip X-ray can help doctors find the cause of limping, pain, tenderness, swelling, or deformity in the hip area. The patient presented persistent groin pain after total hip revision surgery. Normal lucency is < 2mm at cement-bone interface Lucencies at metal-cement interface or metal-bone interface may be secondary to surgery and should remain. However, when imaging for joint replacement, its necessary for the x-ray tech to include several inches of the long bones on either side of the joint. ![]() We present a case of a 56-year-old female with an uncommon cause of persistent pain after total hip replacement, due to protruding screws with the subsequent impingement of surrounding soft tissues. ![]() Persistent pain after total hip arthroplasty can be challenging for the orthopedic surgeon.
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