The Journal of Bone and Joint Surgery (American) 83:1392-1395 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.
An Unusual Cause of Groin Pain Following Hip Replacement
A Case Report
Jonathan Herald, MBBS,
Samuel Macdessi, MBBS and
George Kirsh, MBBS, FRACS(Orth), FA(Orth)A
Investigation performed at St. George Private Hospital and Medical
Centre, Kogorah, Australia
Jonathan Herald, MBBS
Samuel Macdessi, MBBS
Department of Orthopaedic Surgery, Bankstown and Lidcombe Hospital,
Eldridge Road, Bankstown NSW 2200, Australia
George Kirsh, MBBS, FRACS(Orth), FA(Orth)A
St. George Private Hospital and Medical Centre, 1 South Street,
Suite 2, Level 5, Kogarah NSW 2217, Australia. E-mail address:
orthopod@netspace.net.au
No benefits in any form have been received or will be received from
a commercial party related directly or indirectly to the subject
of this article. No funds were received in support of this study.
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Introduction
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Groin pain following total hip arthroplasty raises the concern of
prosthetic loosening, especially of the acetabular component. Evidence
of such hip pathology must be vigorously sought or else revision
surgery may be performed unnecessarily, with no resolution of the
symptoms.
We report the occurrence of gluteal artery stenosis in a patient who
had recently undergone a hip replacement. To our knowledge, this
rare condition has not been described as a cause of groin pain in
such a patient. Gluteal artery insufficiency, along with the differential
diagnosis of groin pain following total hip arthroplasty, is discussed.
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Case Report
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A seventy-three-year-old man complained of
groin pain eighteen months following a total hip replacement in
which a secure-fit acetabular shell and an Omnifit-MHA femoral stem (Stryker
Howmedica Osteonics, Rutherford, New Jersey) with a ceramic-on-polyethylene
articulation had been inserted through a posterior approach. The
postoperative course was unremarkable. The patient was pain-free
until he fell in . . . [Full Text of this Article]

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