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Presentation transcript:

Volume 3, Issue 2, Pages 83-87 (June 2017) Inflammatory pseudotumor after ceramic-on-ceramic total hip arthroplasty Joshua Campbell, MD, Sean Rajaee, MD, Earl Brien, MD, Guy D. Paiement, MD Arthroplasty Today Volume 3, Issue 2, Pages 83-87 (June 2017) DOI: 10.1016/j.artd.2016.11.006 Copyright © 2016 The Authors Terms and Conditions

Figure 1 Anteroposterior (AP) pelvis (a) and frog lateral (b) left hip at presentation showing no evidence of loosening, osteolysis, or apparent complication. Arthroplasty Today 2017 3, 83-87DOI: (10.1016/j.artd.2016.11.006) Copyright © 2016 The Authors Terms and Conditions

Figure 2 Axial T2 (a) and sagittal short tau inversion recovery (STIR) sequence (b) magnetic resonance imaging (MRI) showing pseudotumor formation with communication with the hip. Arthroplasty Today 2017 3, 83-87DOI: (10.1016/j.artd.2016.11.006) Copyright © 2016 The Authors Terms and Conditions

Figure 3 Intraoperative photograph showing a pseudocyst protruding from the joint capsule, lying on the abductors. Arthroplasty Today 2017 3, 83-87DOI: (10.1016/j.artd.2016.11.006) Copyright © 2016 The Authors Terms and Conditions

Figure 4 Intraoperative photograph showing the caseous appearing contents of the cyst in communication with the joint. Arthroplasty Today 2017 3, 83-87DOI: (10.1016/j.artd.2016.11.006) Copyright © 2016 The Authors Terms and Conditions

Figure 5 Photograph of gross specimens removed. Arthroplasty Today 2017 3, 83-87DOI: (10.1016/j.artd.2016.11.006) Copyright © 2016 The Authors Terms and Conditions

Figure 6 Photograph of removed ceramic components without obvious defects or stripe wear. The “lead pencil” mark was a result of intraoperative dislocation and not present before dislocation. Arthroplasty Today 2017 3, 83-87DOI: (10.1016/j.artd.2016.11.006) Copyright © 2016 The Authors Terms and Conditions

Figure 7 Low power histology of pseudocyst, displaying synovial lined cyst-like structure (a). Histology of the pseudocyst at 10× (b) and 40× (c) magnification showing the pseudosynovial lined cyst with abundant histiocyte and lymphocyte infiltration. Arthroplasty Today 2017 3, 83-87DOI: (10.1016/j.artd.2016.11.006) Copyright © 2016 The Authors Terms and Conditions