Failed hip replacement, MRI scan

Failed hip replacement, MRI scan

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This image is part of the sequence Healthcare: Failed hip replacement

Credit: ANTONIA REEVE/SCIENCE PHOTO LIBRARY

Caption: Failed hip replacement. Axial magnetic resonance imaging (MRI) scan through a hip replacement (dark area, centre left) that has failed after less than two years. An ALVAL (aseptic lymphocytic vasculitis associated lesion) cavity (grey cloudy area) has formed in the soft tissue beneath the hip joint. The cavity is a result of excessive wear on the replacement hip components releasing metal ions that cause inflammation and tissue destruction. ALVAL reactions are most common in females, most probably due to the smaller size of their prosthesis leading to more wear. Treatment is with removal of the metal prosthesis.

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Keywords: allergic reaction, allergy, alval, arthroplasty, aseptic lymphocyte dominated vasculitis associated lesion, aseptic lymphocytic vasculitis, associated lesion, black-and-white, cavity, condition, damage, damaged, disease, disorder, failed, failure, high metal ion, hip, hip replacement, hip resurfacing, human body, hypersensitivity, inflamed, inflammation, joint, medical, medicine, metal ion release, metal on metal, metal sensitivity, metal-on-metal, mom, monochrome, mri scan, pelvis, people, person, prosthesis, prosthetic, pseudotumour, reaction, scanner, section, sectioned, toxic reaction, wear

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