Intrapelvic cup migration

Case contributed by David Fortunato Juan-Sierra
Diagnosis certain

Presentation

Right hip pain.

Patient Data

Age: 70 years
Gender: Female
x-ray

Right total hip arthroplasty where the acetabular cup and femoral head have migrated beyond the ilioischial line into the pelvic cavity.

The acetabular marker wire is broken.

Decreased bone density is noted.

Case Discussion

Intrapelvic acetabular cup migration is a rare but serious complication. In some instances, the migrated components are in close vicinity to intrapelvic structures and can cause damage to vascular, neural, and visceral structures 1.

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