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Review article

Hip Arthroplasty Pseudotumors: Pathogenesis, Imaging, and Clinical Decision Making

Derik L DavisJames J Morrison
Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MDDotter Interventional Institute, Oregon Health and Science University, Portland, OR, USA
Date of Submission: 19-Mar-2016, Date of Acceptance: 14-Apr-2016, Date of Web Publication: 29-Apr-2016.
Corresponding Author:
Corresponding Author

Derik L Davis

E-mail: ddavis7@umm.edu

Corresponding Author:
Corresponding Author

Derik L Davis

E-mail: ddavis7@umm.edu

DOI: 10.4103/2156-7514.181493 Facebook Twitter Google Linkedin


Pseudotumors are a complication of hip arthroplasty. The goal of this article is to review the clinical presentation, pathogenesis, histology, and the role of diagnostic imaging in clinical decision making for treatment, and surveillance of pseudotumors. We will discuss the multimodal imaging appearances, differential diagnosis, associated complications, treatment, and prognosis of pseudotumors, as an aid to the assessment of orthopedic prostheses at the hip.
Keywords: Hip, metal, pseudotumor, replacement, total hip arthroplasty

Cited in 11 Documents

  1. Alberto Bazzocchi, Alessandra Bartoloni, Eugenio Rimondi, Ugo Albisinni and Giuseppe Guglielmi (2017) Imaging After Hip Joint Replacement Surgery in the Elderly Population. Curr Radiol Rep 5(1):. doi: 10.1007/s40134-017-0193-0
  2. Donatella Granchi, Lucia Maria Savarino, Gabriela Ciapetti and Nicola Baldini (2018) Biological effects of metal degradation in hip arthroplasties. Critical Reviews in Toxicology 48(2):170. doi: 10.1080/10408444.2017.1392927
  3. Russel Tilney, Melanie Roberta Burg and Mark Adrian Sammut (2017) Cobalt Cardiomyopathy Secondary to Hip Arthroplasty: An Increasingly Prevalent Problem. Case Reports in Cardiology 2017:1. doi: 10.1155/2017/5434571
  4. Yoni M. Blau, Andrew J. Meyers, Mauro Giordani and John P. Meehan (2017) Pseudotumor in ceramic-on-metal total hip arthroplasty. Arthroplasty Today 3(4):220. doi: 10.1016/j.artd.2017.09.001
  5. Mike B. Anderson and Jeremy M. Gililland (2017) Response to Letter to the Editor on ‘The Prevalence of Positive Findings on Metal Artifact Reduction Sequence Magnetic Resonance Imaging in Metal-on-Metal Total Hip Arthroplasty’. The Journal of Arthroplasty 32(6):2034. doi: 10.1016/j.arth.2017.02.053
  6. Akram M. Shaaban, Maryam Rezvani, Jeffrey D. Olpin, Anne M. Kennedy, Ayman H. Gaballah, Bryan R. Foster, Christine O. Menias and Khaled M. Elsayes (2017) Nongynecologic Findings Seen at Pelvic US. RadioGraphics 37(7):2045. doi: 10.1148/rg.2017170083
  7. Lindsay T. Kleeman, Daniel Goltz, Thorsten M. Seyler, Joseph G. Mammarappallil, David E. Attarian, Samuel S. Wellman and Michael P. Bolognesi (2018) Association Between Pseudotumor Formation and Patient Factors in Metal-on-Metal Total Hip Arthroplasty Population. The Journal of Arthroplasty 33(7):S259. doi: 10.1016/j.arth.2018.03.039
  8. Pavel P. Morozov, Munib Sana, Brian J. McGrory, Steven W. Farraher and Tod G. Abrahams (2017) Comparison of Pre-Revision Magnetic Resonance Imaging and Operative Findings in Mechanically Assisted Crevice Corrosion in Symptomatic Metal-on-Polyethylene Total Hip Arthroplasties. The Journal of Arthroplasty 32(8):2535. doi: 10.1016/j.arth.2017.03.021
  9. Divya Rani Bijukumar, Abhijith Segu, Júlio C.M. Souza, XueJun Li, Mark Barba, Louis G. Mercuri, Joshua J. Jacobs and Mathew Thoppil Mathew (2018) Systemic and local toxicity of metal debris released from hip prostheses: A review of experimental approaches. Nanomedicine: Nanotechnology, Biology and Medicine 14(3):951. doi: 10.1016/j.nano.2018.01.001
  10. Brian T. Grisez, Tyler E. Calkins and Matthew J. Dietz (2017) Modular Femoral Stems in Revision Total Hip Arthroplasty. Operative Techniques in Orthopaedics 27(3):178. doi: 10.1053/j.oto.2017.05.006
  11. Carmen Benitez, Javier Pérez-Jara, Luis Garcia-Paino, Teresa Montenegro, Encarnacion Martin and Arturo Vilches-Moraga (2018) Particulate wear debris osteolysis, acute urinary retention and delirium as late complications of hip arthroplasty. 47(5):756. doi: 10.1093/ageing/afy083

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