Stress fracture of the pubis after total hip arthroplasty

W. J. Launder, D. S. Hungerford

Research output: Contribution to journalArticlepeer-review


The occurrence of pain after total hip athroplasty emphasizes the covert nature of acute stress fractures. In a 46-year-old woman, the lesion was not apparent on initial radiograms; cultures as well as gram stain of the joint fluid were also negative, and the initial ESR and white blood count were normal, effectively ruling out infection. An arthrogram, performed to demonstrate possible loosening, revealed stress fracture of the superior pubic ramus. Without evidence of active infection, it may therefore prove wise to postpone revision surgery for several weeks or until diagnosis of an occult fracture becomes radiologically apparent.

Original languageEnglish (US)
Pages (from-to)183-185
Number of pages3
JournalClinical orthopaedics and related research
VolumeNo. 159
StatePublished - Jan 1 1981

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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