Imaging of hip arthroplasty

Jan Fritz, Brett Lurie, Theodore T. Miller

Research output: Contribution to journalArticlepeer-review

Abstract

Imaging studies are central to the evaluation of persistent or recurrent symptoms after hip arthroplasty. The evaluation starts with radiographs and may be followed by arthrography, aspiration, scintigraphy, sonography, computed tomography, and MR imaging. Common etiologies of a painful or dysfunctional hip arthroplasty are mechanical loosening, polyethylene wear-induced osteolysis, adverse local tissue reaction to metal wear products, infection, fractures, heterotopic ossification, tendinopathy, and nerve injury. MR imaging with optimized protocols and dedicated techniques for metal artifact reduction is the most comprehensive imaging modality. In this article, we discuss and illustrate the imaging appearances of these conditions with a focus on the MR imaging evaluation.

Original languageEnglish (US)
Pages (from-to)316-327
Number of pages12
JournalSeminars in Musculoskeletal Radiology
Volume17
Issue number3
DOIs
StatePublished - Jul 3 2013
Externally publishedYes

Keywords

  • ALVAL
  • MR imaging
  • adverse tissue reaction
  • arthroplasty
  • hip

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Radiology Nuclear Medicine and imaging

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