PMC1698139_01
The radiological appearance of her right hip following
previous TB, arthrodesis, subsequent lymphoma, and
radiotherapy:and there is now a radiation induced sarcoma
involving the right hemiplevis! Note that the left hip is
normal.
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F1
In 1992, the patient, then 52 years old, was diagnosed with a high-grade spindle cell sarcoma involving the right proximal femur and extending into the right acetabulum (Figure 1).
AP X-ray of the pelvis showing the result 9 years following
hindquarter amputation, the marked degenerative changes of the
spine, and the severe osteoarthritis changes of the left hip. It
is apparent that the whole pelvis is tilted to the left.
SRCM2006-28141.002.jpg
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F2
Nonoperative therapies had been exhausted and in 2001, when she was aged 62, a decision to perform a total hip arthroplasty was made (Figure 2).
Three months following the left total hip arthroplasty.
There appears to be a stress fracture through the floor of the
acetabulum.
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F3
Radiographs revealed a fracture through the floor of the acetabulum (Figure 3).
The radiological appearance of her pelvis 4 years after the
total hip replacement. There has been some migration of the
cemented cup but the hip causes her no pain.
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F4
She tended to have an adducted leg but there were no radiological or clinical features suggestive of subluxation (Figure 4).