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Ultrasound guidance for needle aspiration of the hip in patients with painful hip prosthesis

Ultrasound guidance for needle aspiration of the hip in patients with painful hip prosthesis Gloria Hubred Komppa, MD, James R. Northern, Sr, DO, Cpt, MC, David K. Haas, MD, Cpt, MC, Edward Lisecki, MD, Cpt, MC, and Nasser Ghaed, MD, Col, MC The two most common long-term complications of prosthetic replacement of the hip are loosening and This study was performed in patients with painful hip replacement who clinically were considered to have infection complicating their surgery. Tehranzadeh et al. state that: “The data from plain radiography (especially serial studies), aspiration, arthrography and bone scanning suggest that a painful hip prosthesis should be investigated in the following order: First, by plain radiography, which was highly diagnostic for loosening but not for infection. The next examination should be the bone scan. If the bone scan suggests infection, aspiration followed by arthrography is indicated.”6 The uses of ultrasound are many, including invasive procedures such as directed needle biopsy and aspiration. However, to our knowledge, ultrasound-guided needle aspiration has not been performed in any joint space. It was believed that by using ultrasound, fluoroscopic time and radiation dose would be significantly lowered, as these patients often undergo multiple examinations and hip joint evaluations after surgery. METHODS AND RESULTS Ultrasound-guided joint aspirations were performed in five http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Ultrasound guidance for needle aspiration of the hip in patients with painful hip prosthesis

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References (7)

Publisher
Wiley
Copyright
Copyright © 1985 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870130614
Publisher site
See Article on Publisher Site

Abstract

Gloria Hubred Komppa, MD, James R. Northern, Sr, DO, Cpt, MC, David K. Haas, MD, Cpt, MC, Edward Lisecki, MD, Cpt, MC, and Nasser Ghaed, MD, Col, MC The two most common long-term complications of prosthetic replacement of the hip are loosening and This study was performed in patients with painful hip replacement who clinically were considered to have infection complicating their surgery. Tehranzadeh et al. state that: “The data from plain radiography (especially serial studies), aspiration, arthrography and bone scanning suggest that a painful hip prosthesis should be investigated in the following order: First, by plain radiography, which was highly diagnostic for loosening but not for infection. The next examination should be the bone scan. If the bone scan suggests infection, aspiration followed by arthrography is indicated.”6 The uses of ultrasound are many, including invasive procedures such as directed needle biopsy and aspiration. However, to our knowledge, ultrasound-guided needle aspiration has not been performed in any joint space. It was believed that by using ultrasound, fluoroscopic time and radiation dose would be significantly lowered, as these patients often undergo multiple examinations and hip joint evaluations after surgery. METHODS AND RESULTS Ultrasound-guided joint aspirations were performed in five

Journal

Journal of Clinical UltrasoundWiley

Published: Jul 1, 1985

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