case_images: PMC3690678_01
case_images: Ten year old hip with dislocation.
case_images: CRIM.ORTHOPEDICS2013-398973.001.jpg
case_images: PMC3690678_01_CRIM.ORTHOPEDICS2013-398973.001.jpg
case_images: fig1
case_images: Status post reduction. Note GT bone loss (arrow).
case_images: CRIM.ORTHOPEDICS2013-398973.002.jpg
case_images: PMC3690678_01_CRIM.ORTHOPEDICS2013-398973.002.jpg
case_images: fig2
case_images: Revision surgery.
case_images: CRIM.ORTHOPEDICS2013-398973.003.jpg
case_images: PMC3690678_01_CRIM.ORTHOPEDICS2013-398973.003.jpg
case_images: fig3
case_images: At the time of the final revision surgery, a large encapsulated tissue mass was found to incase the gluteus minimus, medius, and greater trochanter with amorphous aseptic necrotic tissue (Figures 3, 4, and 5).
case_images: Revision surgery.
case_images: CRIM.ORTHOPEDICS2013-398973.004.jpg
case_images: PMC3690678_01_CRIM.ORTHOPEDICS2013-398973.004.jpg
case_images: fig4
case_images: At the time of the final revision surgery, a large encapsulated tissue mass was found to incase the gluteus minimus, medius, and greater trochanter with amorphous aseptic necrotic tissue (Figures 3, 4, and 5).
case_images: Revision surgery.
case_images: CRIM.ORTHOPEDICS2013-398973.005.jpg
case_images: PMC3690678_01_CRIM.ORTHOPEDICS2013-398973.005.jpg
case_images: fig5
case_images: At the time of the final revision surgery, a large encapsulated tissue mass was found to incase the gluteus minimus, medius, and greater trochanter with amorphous aseptic necrotic tissue (Figures 3, 4, and 5).
case_images: Metasul liner (removed).
case_images: CRIM.ORTHOPEDICS2013-398973.006.jpg
case_images: PMC3690678_01_CRIM.ORTHOPEDICS2013-398973.006.jpg
case_images: fig6
case_images: Implant revision consisted of inserting an all-polyethylene constrained acetabular liner in the existing cup combined with a new 38 mm Cobalt-Chrome femoral head (Figures 6 and 7).
case_images: New exchanged constrained liner.
case_images: CRIM.ORTHOPEDICS2013-398973.007.jpg
case_images: PMC3690678_01_CRIM.ORTHOPEDICS2013-398973.007.jpg
case_images: fig7
case_images: Implant revision consisted of inserting an all-polyethylene constrained acetabular liner in the existing cup combined with a new 38 mm Cobalt-Chrome femoral head (Figures 6 and 7).
case_images: Pigment laden histiocytes not limited to vascular area.
case_images: CRIM.ORTHOPEDICS2013-398973.008.jpg
case_images: PMC3690678_01_CRIM.ORTHOPEDICS2013-398973.008.jpg
case_images: fig8
case_images: Histological evaluation of the abnormal hip tissue revealed abundant tissue necrosis, fibrosis, and granulomatous inflammation with foreign body-type giant cell reaction (Figures 8 and 9).
case_images: Histiocytes with black (metal) pigment (arrows) diffusely seen throughout tissue specimen.
case_images: CRIM.ORTHOPEDICS2013-398973.009.jpg
case_images: PMC3690678_01_CRIM.ORTHOPEDICS2013-398973.009.jpg
case_images: fig9
case_images: Histological evaluation of the abnormal hip tissue revealed abundant tissue necrosis, fibrosis, and granulomatous inflammation with foreign body-type giant cell reaction (Figures 8 and 9).