title: [Traumatic crunching of a ceramic head in a hip arthroplasty after fall].
abstract: A 68-year-old woman with a well functioning total hip arthroplasty fell down on her right hip. A month later, a crunching sound was heard and pain intensified. An initial frontal radiograph was insufficient for reaching a diagnosis but subsequent biplanar radiographs revealed a fragmented ceramic head and revision surgery was performed. The course hereafter was uneventful. Biplanar early radiographs--and potentially a computed tomography--following direct trauma to a symptomatic total hip arthroplasty containing one or more ceramic components is recommended. Surgery should include change of both head and liner and a thorough total synovectomy.
authors.forename: Simone
authors.initials: S
authors.lastname: Dalskov
authors.affiliation: Ortopædkirurgisk Afdeling, Københavns -Privathospital, Jægersborgvej 64-66b, 2800 Lyngby. henrikhusted@dadlnet.dk.
authors.forename: Henrik
authors.initials: H
authors.lastname: Husted
mesh_terms: D000058:Accidental Falls; D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D002516:Ceramics; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis; D006801:Humans; D011475:Prosthesis Failure / Q000209:etiology*; D011859:Radiography; D012086:Reoperation