Radiographic and CT features of metallosis in a lame dog after total hip replacement: the cloud sign

Author:

Lucaci Felix Daniel1ORCID,Battiato Pierantonio2ORCID,Bassi Jessica2,Zani Davide Danilo2ORCID,De Zani Donatella2ORCID,Vezzoni Aldo3ORCID,Stranieri Angelica2ORCID,Longo Maurizio2ORCID

Affiliation:

1. Faculty of Veterinary Medicine University of Agricultural Sciences and Veterinary Medicine Cluj‐Napoca Romania

2. Department of Veterinary Medicine and Animal Sciences University of Milan Lodi Italy

3. Clinica Veterinaria Vezzoni Cremona Italy

Abstract

AbstractA 2‐year‐old female American Akita was referred for CT of the pelvis and hindlimbs due to a left hindlimb lameness after a left total hip replacement. Referral radiographs and CT images demonstrated amorphous soft‐tissue and mineral opacities surrounding the proximal femur and the prosthetic stem, consistent with the “cloud sign” reported as a characteristic of metallosis in humans. Dorsomedial displacement of the prosthetic head, multiple foci of geographic osteolysis alongside the “cloud sign”, presumed pseudotumor lesions, and medial iliac lymphadenopathy were also identified with CT. Metallosis was confirmed based on ultrasound‐guided cytology, revision surgery, and histopathology.

Publisher

Wiley

Subject

General Veterinary

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