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The Journal of Bone and Joint Surgery (American) 83:1392-1395 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.


Case Report

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.


    Introduction
 
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.


    Case Report
 
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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P. J. Duffy, B. A. Masri, D. S. Garbuz, and C. P. Duncan
Evaluation of Patients with Pain Following Total Hip Replacement
J. Bone Joint Surg. Am., November 1, 2005; 87(11): 2566 - 2575.
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