Evaluation of the Painful Total Hip Replacement:

- See: THR Main Menu

- Discussion:
    - infection:
    - stress fracture
         - Pubic Ramus Insufficiency Fractures Following Total Hip Arthroplasty. A Report of Six Cases.
         - Acetabular fracture associated with cementless acetabular component insertion: a report of 13 cases.
    - aseptic loosening
    - osteolysis:
    - thigh pain from press fit stem:
    - hernia
         - Evaluation of patients with pain following total hip replacement.
         - Strangulated obturator hernia masquerading as pain from a total hip replacement.

    - psoas tendonitis:
         - pain in the groin
         - pain when getting in and out of an automobile or a chair (requires active flexion and rotation of hip)
         - Iliopsoas Tendonitis.  A Complication After Total Hip Arthroplasty.
         - Anterior iliopsoas impingement after total hip arthroplasty: diagnosis and conservative treatment in 9 cases.
         - Iliopsoas impingement in 12 patients with a total hip arthroplasty.
         - Iliopsoas bursitis following total hip replacement.
         - Iliopsoas tendinitis-rare cause of pain following implantation of a total hip endoprosthesis.
         - Iliopsoas impingement after total hip replacement. The results of nonoperative management, tenotomy of acetabular revision.

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- Role of Differential Injections:
   - intra-articular injection of marcaine can be used in the diagnosis of component loosening;
   - in the study by RW Crawford et al 1997, 15 patients with a painful THR received a marcaine injection;
         - 14 patients received relief with the injection and 13 of them were found to have loose components (either femoral and/or acetabular);
                 - it did not seem to matter whether components were cemented or press fit;
         - hip was aspirated and any fluid obtained was sent for culture, and if fluid was not obtained then
                 inject 5 ml of Hartman's syndrome and re-aspirate;
         - after aspiration, 10 cc of marcaine is injected;
         - ref: Intra-articular local anesthesia for pain after hip arthroplasty. RW Crawford et al. JBJS. Vol 79-B. No 5. Sep 1997. p 796.

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Evaluation of patients with pain following total hip replacement.

Lateral trochanteric pain following primary total hip arthroplasty.

Evaluation of Patients with Pain Following Total Hip Replacement.

An Unusual Cause of Groin Pain Following Hip Replacement.

Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hip

COMPRESSION OF THE SCIATIC NERVE BY WEAR DEBRIS FOLLOWING TOTAL HIP REPLACEMENT: A REPORT OF THREE CASES