The painful hip prosthesis: value of nuclear imaging in the diagnosis of late complications

Clinical Nuclear Medicine
A W Pearlman

Abstract

Loosening of the prosthesis and infection are the most common late complications of the Charnley low friction arthroplasty. A noninvasive diagnostic approach to the symptomatic patient, using plain radiographs and nuclear imaging with a bone imaging agent, is presented. Nuclear imaging is a more sensitive indicator than plain radiography, but the two studies supplement each other. The nuclear study may be positive when radiographs are normal and in no patient with loosening was the nuclear image normal. In the presence of a normal nuclear image and a normal radiograph, there is an extremely small probability that either complication is present.

Citations

Jan 1, 1988·Archives of Orthopaedic and Trauma Surgery·K W ZilkensU Büll
Jun 1, 1992·The British Journal of Radiology·K A MilesI Belton
Nov 1, 1989·Current Problems in Diagnostic Radiology·R L FitzRandolphD N Collins
Apr 1, 1983·Seminars in Nuclear Medicine·P Matin
May 25, 2005·The Journal of Bone and Joint Surgery. British Volume·O P P TemmermanI C Heyligers
Jan 1, 1984·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·R W NuttonP J Kelly

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