Profunda femoris pseudoaneurysm following Birmingham hip resurfacing: an important differential diagnosis for a periarticular cystic mass

Skeletal Radiol. 2012 Jul;41(7):853-6. doi: 10.1007/s00256-011-1341-x. Epub 2011 Dec 24.


Vascular injury following hip resurfacing arthroplasty is rare: we present a case of profunda femoris pseudoaneurysm complicating hip resurfacing arthroplasty performed via an anterolateral approach. Over recent years, it has been recognized that an adverse reaction to metal debris from metal-on-metal arthroplasties can also result in the development of cystic masses around the hip. This case highlights a potential rare differential diagnosis that needs to be considered when imaging cystic mass lesions around the postoperative hip. Imaging can provide a definitive diagnosis if this entity is considered and its appearances recognized, resulting in appropriate management of this potentially limb- and life-threatening complication.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnosis*
  • Aneurysm, False / etiology*
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Femoral Artery / diagnostic imaging*
  • Femoral Artery / injuries
  • Femoral Artery / pathology*
  • Hip Prosthesis / adverse effects*
  • Humans
  • Male
  • Middle Aged
  • Radiography