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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Groin, Thigh Pain, Tightness. Hip Replacement Surgery, MRI Shows Interval Development Of Lucency Along Distal Femoral Stem Of Right Hip. Treatment?

I had total hip replacement 2 years ago. About 6 months ago, I started having severe groin and mid thigh pain. I had a steroid shot in my groin that did not help the pain level at all. The worse pain is in my thigh. It has a tight feeling all the time but I can do something as simple as change positions while sleeping and it feels like a sharp knife to my thigh. It lasts about 2 mins. MRI and x-rays conclude: No significant right hip fluid collection identified. There has been interval development of 1-2 mm of lucency along the distal femoral stem of the right hip arthroplasty . This may represent some interval loosening. No evidence of acute fractures or dislocations are identified.
Fri, 13 Jul 2012
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Orthopaedic Surgeon, Joint Replacement 's  Response
hi
welcome
looks like the thigh pain is due to the previous hip replacement, also u have not mentioned your age and whether a uncemented or cemented hip was performed.
if cemented -loosening
then we find the cause with all blood tests to rule out infection . if no infection think of stem revision
do contact a good orthopedic doctor
wishing u good health
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Groin, Thigh Pain, Tightness. Hip Replacement Surgery, MRI Shows Interval Development Of Lucency Along Distal Femoral Stem Of Right Hip. Treatment?

hi welcome looks like the thigh pain is due to the previous hip replacement, also u have not mentioned your age and whether a uncemented or cemented hip was performed. if cemented -loosening then we find the cause with all blood tests to rule out infection . if no infection think of stem revision do contact a good orthopedic doctor wishing u good health