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Hip

Muscle atrophy and metal-on-metal hip implants

A serial MRI study of 74 hips

, , , , , , , & show all
Pages 351-357 | Received 29 May 2014, Accepted 31 Oct 2014, Published online: 14 Jan 2015

Figures & data

Figure 1. The study methods, inclusion/exclusion criteria, and study outcomes.

Figure 1. The study methods, inclusion/exclusion criteria, and study outcomes.

Table 2. MARS MRI protocol

Figure 2. MRI demonstrating increasing grades of muscle atrophy in MOM hip patients. A. Grade 1. B. Grade 2. C. Grade 3. D. Grade 4. Areas of significant atrophy are highlighted with arrows.

Figure 2. MRI demonstrating increasing grades of muscle atrophy in MOM hip patients. A. Grade 1. B. Grade 2. C. Grade 3. D. Grade 4. Areas of significant atrophy are highlighted with arrows.

Figure 3. The change in muscle atrophy scores from first MRI (green) to second MRI (blue), where gluteus minimus and posterior and inferior gluteus medius had the greatest mean change between time points.

Figure 3. The change in muscle atrophy scores from first MRI (green) to second MRI (blue), where gluteus minimus and posterior and inferior gluteus medius had the greatest mean change between time points.

Figure 4. Example of abductor stripping secondary to pseudotumor (marked with arrows). A. Axial image. B. Coronal image. A pseudotumor can be seen traversing the posterior hip around the greater tuberosity onto its lateral aspect, which is now void of abductor tendon insertion.

Figure 4. Example of abductor stripping secondary to pseudotumor (marked with arrows). A. Axial image. B. Coronal image. A pseudotumor can be seen traversing the posterior hip around the greater tuberosity onto its lateral aspect, which is now void of abductor tendon insertion.

Figure 5. Example of new pseudotumor formation (arrows) in a patient with bilateral Birmingham hip resurfacing. T2-weighted MRI images. Date of implantation was January 2007, time from operation to first MRI (panel A) was 69 months, and time from operation to second MRI (panel B) was 84 months.

Figure 5. Example of new pseudotumor formation (arrows) in a patient with bilateral Birmingham hip resurfacing. T2-weighted MRI images. Date of implantation was January 2007, time from operation to first MRI (panel A) was 69 months, and time from operation to second MRI (panel B) was 84 months.
Supplemental material

Supplementary Material

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