Doctor insights on:
Photopenic Defects In Hip Replacement
LargeTumor and 3nodules in interior hip joint. Dr.did complete hip replacement. What are chances of tumor return in pelvic bone area?
Total hip replacement: surgery in which the diseased ball and socket of the hip joint are completely removed and replaced with artificial materials. A metal ball with a stem (a prosthesis) is inserted into the femur (thigh bone) and an artificial plastic cup socket is placed in the acetabulum (a "cup-shaped" ...Read more
Marked degenerative change demonstrated n the hip joint, Labral degeneration is identified subchondral cyst change in the acetabulum, and femoral head?
Knee MR found advanced loss of articular cartilage in medial compartment of tibio-femoral and patella-femoral joint. What are my options?
Depends: Medications / injections or surgery. Depends upon how much pain you have and what your response to prior interventions has been. Generally try the easy things first and advance to surgery when nothing else works. ...Read more
What level of pain associated with severe hip osteoarthritis rel to severe avascular necrosis resulting in progressive bilateral hip deformities.
Talk to a dr: Hi, Thank you for your question. I would love to discuss this in more detail with you. Please contact me if you would like to tackle your problems one on one. Either way hope you feel better. Dr. M ...Read more
Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?
Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more
Right knee advanced loss of articular cartilage in medial compartment of tibio femoral and patella femoral joints. What are surgical options?
Left knee medial compartment joint replacement hardware with abnormal
uptake of tracer in the medial left femoral condyle proximal to the prosthesis.
Varies : It varies in part on the type of scan you underwent and the timing of when your knee replace my was done as well. A standard bone scan will light up with increased bone activity and would be concerning for loosening, infection, or fracture. A white blood labeled scan that lights up whilst be concerning for infection. I would discuss with your surgeon. ...Read more
What are the dislocation risks after hip replacement? Is a person at greater risk of dislocation after a complete hip joint replacement?
Low risk: Dislocation can occur after a tha but is generally very low and dependent on the original surgical approach, femoral ball size, and skill of the surgeon. The incidence of dislocation ranges from 0.1% to 1-2% depending on the above factors. While surface replacement may have less risk than a total hip replacement, other factors may make these less desirable. Discuss with your surgeon. ...Read moreSee 2 more doctor answers
Runner. Have bone marrow edema in left superior ramus&acetabular column+stabbing posterior hip. Is this all consistent w dysplasia?
Not necessarily: Hip dysplasia is diagnosed by certain radiographic parameters on an ap radiograph of the pelvis. You could potentially have acetabular or proximal femoral dysplasia, but it's hard to tell if your symptoms correlate with any type of dysplasia. ...Read more
Wear debris: The most common cause of loosening is from the reaction of the bone to the wear particles from the metal and plastic implant. All mechanical devices produce wear particles and your hip is no exception. These particles case a resorption of bone called "lysis". Loosening can also be caused by infection. Sometimes a fall can cause a fracture around an implant and this may loosen the component. ...Read moreSee 1 more doctor answer
Uncommon: Infection after tha is a known complication that occurs in 0.1-2% of hip replacement procedures. Factors that can affect this incidence include patient conditions such as obesity, diabetes, or immune system diseases, as well as the length of surgery time, wound closure methods, and experience of the surgeon. Some hospitals and surgeons have higher rates of infection. ...Read moreSee 2 more doctor answers
Hip pain as a consequence of progressive degeneration and arthritis will lead to hip replacement or orthoscopy ??
Hip pain treatments: Hip degeneration is common, and doesn't lead to replacement unless the joint is badly damaged. Weight control, balanced walking, and hip muscle strengthening, will preserve the joint. ...Read more
Chondral loss in my lateral patellar and femoral trochilea. Minimal joint effusion and bone marrow edemia. What are my options?
Osteoarthritis: Your description is consistent with osteoarthritis. Keep your weight controlled. A strengthening program for your quadriceps muscles as well as stretching your hamstrings will help to reduce symptoms. You may benefit from physical therapy or water exercise classes. Pain can be treated with tylenol (acetaminophen) or nsaids. You could possibly benefit from viscosupplementation such as synvisc or euflexxa. ...Read more
Besides hip dislocation and hip fracture, what are other side effects of hip replacement surgery?
Snapping hip: Snapping can be due to tendons in front of the hip or along the side. Pt can help by teaching you how to stretch these to reduce the snapping. Painful snapping should be evaluated by your surgeon, especially if your replacement has been in for a while. ...Read moreSee 1 more doctor answer
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