Value of High Resolution Ultrasound in the Evaluation of Painful Hip Arthroplasty
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- Category: Vol. 85, September 2017
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Value of High Resolution Ultrasound in the Evaluation of Painful Hip Arthroplasty, AYA M.B.F. HASHEM, NAGUI M. ABD EL-WAHAB, NEVIEN E. EL-LIETHY, ASHRAF A. EL-NAHAL and WALID A. EL-NAHAL
Abstract
Purpose: The purpose of this study is to highlight the beneficial role of high resolution ultrasound for assessment of painful hip after arthroplasty.
Patients and Methods: The study included forty-five patients from both sexes (five of them have bilateral hip prosthesis) with hip pain following hip arthroplasty; 3 1 had total hip arthroplasty and 29 had hemiarthroplasty. They were evaluated in the current prospective study by plain X-ray examination and high resolution ultrasound (with color Doppler whenever indicated). Aspiration guided ultrasound of hip effusion was done in some cases if possible to detect the causative organism of infection.
Results: Sonography (US) is an excellent modality in evaluating for joint effusion, extra-articular fluid collections, as well as the soft tissues surrounding the hip.
Conclusion: US in addition to standard sequential plain radiography are complementary tools of investigation for detection of post-operative complications prior to revision surgery.