Hip prosthesis

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Something protruding in upper thigh, long standing history.

Patient Data

Age: 65 years
Gender: Female
x-ray

The frontal view of the left hip appears relatively normal, demonstrating a left hip prosthesis.

Dislocated stem of prosthesis is however seen clearly on the lateral view.

Case Discussion

Prosthesis was inserted 16 years previously. Presently complaint of 'pricking' type pain in the upper thigh. No difficulty in walking at present.

This case explains why two radiograph at orthogonal planes are required. If a second view is not taken then important pathology may be missed.

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