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Erschienen in: Skeletal Radiology 1/2008

01.01.2008 | Case Report

The imaging appearances of metallosis

verfasst von: E. J. Heffernan, F. O. Alkubaidan, T. O. Nielsen, P. L. Munk

Erschienen in: Skeletal Radiology | Ausgabe 1/2008

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Abstract

Metallosis is an uncommon condition in which there is infiltration of periprosthetic soft tissues and bone by metallic debris resulting from wear of joint arthroplasties. It is often associated with significant osteolysis; therefore the identification of metallosis is an indication for revision arthroplasty. The radiographic, CT and MRI features of metallosis in a 63-year-old man who presented 16 years post-arthroplasty are described in this case report.
Literatur
1.
Zurück zum Zitat Sanchis-Alfonso V. Severe metallosis after unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2007; 15(4): 361–364.PubMedCrossRef Sanchis-Alfonso V. Severe metallosis after unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2007; 15(4): 361–364.PubMedCrossRef
2.
Zurück zum Zitat Chang JD, Lee SS, Hur M, Seo EM, Chung YK, Lee CJ. Revision total hip arthroplasty in hip joints with metallosis: a single-center experience with 31 cases. J Arthroplasty 2005; 20(5): 568–573.PubMedCrossRef Chang JD, Lee SS, Hur M, Seo EM, Chung YK, Lee CJ. Revision total hip arthroplasty in hip joints with metallosis: a single-center experience with 31 cases. J Arthroplasty 2005; 20(5): 568–573.PubMedCrossRef
3.
Zurück zum Zitat Hopkins AR, Hansen UN, Amis AA, et al. Wear in the prosthetic shoulder: association with design parameters. J Biomech Eng 2007; 129(2): 223–230.PubMedCrossRef Hopkins AR, Hansen UN, Amis AA, et al. Wear in the prosthetic shoulder: association with design parameters. J Biomech Eng 2007; 129(2): 223–230.PubMedCrossRef
4.
Zurück zum Zitat Ottaviani G, Catagni MA, Matturri L. Massive metallosis due to metal-on-metal impingement in substitutive long-stemmed knee prosthesis. Histopathology 2005; 46(2): 237–238.PubMedCrossRef Ottaviani G, Catagni MA, Matturri L. Massive metallosis due to metal-on-metal impingement in substitutive long-stemmed knee prosthesis. Histopathology 2005; 46(2): 237–238.PubMedCrossRef
5.
Zurück zum Zitat Gambera D, Carta S, Crainz E, Fortina M, Maniscalco P, Ferrata P. Metallosis due to impingement between the socket and the femoral head in a total hip prosthesis. A case report. Acta Biomed 2002; 73(5–6): 85–91.PubMed Gambera D, Carta S, Crainz E, Fortina M, Maniscalco P, Ferrata P. Metallosis due to impingement between the socket and the femoral head in a total hip prosthesis. A case report. Acta Biomed 2002; 73(5–6): 85–91.PubMed
6.
Zurück zum Zitat Keel JB, Kuster MS. Massive wear of an incompatible metal-on-metal articulation in total hip arthroplasty. J Arthroplasty 2004; 19(5): 638–642.PubMedCrossRef Keel JB, Kuster MS. Massive wear of an incompatible metal-on-metal articulation in total hip arthroplasty. J Arthroplasty 2004; 19(5): 638–642.PubMedCrossRef
7.
Zurück zum Zitat Miki H, Sugano N, Yamamura M, Nakamura N, Nishii T, Yoshikawa H. Serious metallosis of a metal head due to fragmented ceramic screws in a cemented THA. Arch Orthop Trauma Surg 2006; 126(3): 192–196.PubMedCrossRef Miki H, Sugano N, Yamamura M, Nakamura N, Nishii T, Yoshikawa H. Serious metallosis of a metal head due to fragmented ceramic screws in a cemented THA. Arch Orthop Trauma Surg 2006; 126(3): 192–196.PubMedCrossRef
8.
Zurück zum Zitat Weissman BN, Scott RD, Brick GW, Corson JM. Radiographic detection of metal-induced synovitis as a complication of arthroplasty of the knee. J Bone Joint Surg Am 1991; 73(7): 1002–1007.PubMed Weissman BN, Scott RD, Brick GW, Corson JM. Radiographic detection of metal-induced synovitis as a complication of arthroplasty of the knee. J Bone Joint Surg Am 1991; 73(7): 1002–1007.PubMed
9.
Zurück zum Zitat Case CP, Langkamer VG, James C, et al. Widespread dissemination of metal debris from implants. J Bone Joint Surg Br. 1994 Sep; 76(5): 701–712.PubMed Case CP, Langkamer VG, James C, et al. Widespread dissemination of metal debris from implants. J Bone Joint Surg Br. 1994 Sep; 76(5): 701–712.PubMed
10.
Zurück zum Zitat Bullough PG. Metallosis. J Bone Joint Surg Br. 1994 Sep; 76(5): 687–688.PubMed Bullough PG. Metallosis. J Bone Joint Surg Br. 1994 Sep; 76(5): 687–688.PubMed
11.
Zurück zum Zitat Sunderman FW, Hopfer SM, Swift T, et al. Cobalt, chromium and nickel concentrations in body fluids of patients with porous-coated knee or hip prostheses. J Orthop Res 1989; 7: 307–315.PubMedCrossRef Sunderman FW, Hopfer SM, Swift T, et al. Cobalt, chromium and nickel concentrations in body fluids of patients with porous-coated knee or hip prostheses. J Orthop Res 1989; 7: 307–315.PubMedCrossRef
12.
Zurück zum Zitat Milosev L, Antolic V, Minovic A. Extensive metallosis and necrosis in failed prostheses with cemented titanium-alloy stems and ceramic heads. J Bone Joint Surg Br. 2000; 82(3): 352–357.PubMedCrossRef Milosev L, Antolic V, Minovic A. Extensive metallosis and necrosis in failed prostheses with cemented titanium-alloy stems and ceramic heads. J Bone Joint Surg Br. 2000; 82(3): 352–357.PubMedCrossRef
13.
Zurück zum Zitat Masri BA, Head, Department of Orthopedic Surgery, Vancouver General Hospital and University of British Columbia. Personal Communication, 2007. Masri BA, Head, Department of Orthopedic Surgery, Vancouver General Hospital and University of British Columbia. Personal Communication, 2007.
14.
Zurück zum Zitat Chew FS, Ramsdell MG, Keel SB. Metallosis after total knee replacement. AJR Am J Roentgenol 1998; 170(6): 1556.PubMed Chew FS, Ramsdell MG, Keel SB. Metallosis after total knee replacement. AJR Am J Roentgenol 1998; 170(6): 1556.PubMed
15.
Zurück zum Zitat McGovern TF, Moskal JT. Radiographic evaluation of periprosthetic metallosis after total knee arthroplasty. J South Orthop Assoc 2002; 11(1): 18–24.PubMed McGovern TF, Moskal JT. Radiographic evaluation of periprosthetic metallosis after total knee arthroplasty. J South Orthop Assoc 2002; 11(1): 18–24.PubMed
16.
Zurück zum Zitat Su EP, Callender PW, Salvati EA. The bubble sign: a new radiographic sign in total hip arthroplasty. J Arthroplasty 2003; 18(1): 110–112.PubMedCrossRef Su EP, Callender PW, Salvati EA. The bubble sign: a new radiographic sign in total hip arthroplasty. J Arthroplasty 2003; 18(1): 110–112.PubMedCrossRef
17.
Zurück zum Zitat Lombardi AV, Mallory TH, Staab M, Herrington SM. Particulate debris presenting as radiographic dense masses following total knee arthroplasty. J Arthroplasty 1998; 13(3): 351–355.PubMedCrossRef Lombardi AV, Mallory TH, Staab M, Herrington SM. Particulate debris presenting as radiographic dense masses following total knee arthroplasty. J Arthroplasty 1998; 13(3): 351–355.PubMedCrossRef
18.
Zurück zum Zitat Hernigou P, Poignard A, Nogier A, Manicom O. Osteolysis in revision total knee arthroplasty: a comparative study of osteolysis with and without metallosis {French}. Rev Chir Orthop Reparatrice Appar Mot 2005; 91(1): 51–57.PubMed Hernigou P, Poignard A, Nogier A, Manicom O. Osteolysis in revision total knee arthroplasty: a comparative study of osteolysis with and without metallosis {French}. Rev Chir Orthop Reparatrice Appar Mot 2005; 91(1): 51–57.PubMed
19.
Zurück zum Zitat Potter HG, Foo LF. Magnetic resonance imaging of joint arthroplasty. Orthop Clin N Am 2006; 37: 361–373.CrossRef Potter HG, Foo LF. Magnetic resonance imaging of joint arthroplasty. Orthop Clin N Am 2006; 37: 361–373.CrossRef
20.
Zurück zum Zitat White LM, Kim JK, Mehta M, et al. Complications of total hip arthroplasty: MR imaging-initial experience. Radiology 2000; 215: 254–262.PubMed White LM, Kim JK, Mehta M, et al. Complications of total hip arthroplasty: MR imaging-initial experience. Radiology 2000; 215: 254–262.PubMed
Metadaten
Titel
The imaging appearances of metallosis
verfasst von
E. J. Heffernan
F. O. Alkubaidan
T. O. Nielsen
P. L. Munk
Publikationsdatum
01.01.2008
Verlag
Springer-Verlag
Erschienen in
Skeletal Radiology / Ausgabe 1/2008
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-007-0362-y

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