Re: Degenerative hip disease

[Guest guest]

Sunny et al:

The A-P pelvis x-ray the patient brought in only showed up through the

lower half of L3 and he had no lateral, except to say that he had a

" spondy. " Therefore, I decided to get A-P and lateral films to more

fully assess his condition. Since medicare won't pay for x-rays by a

D.C., he requested that I send him to Diagnostic Imaging here in Salem.

Well, he presented there today for standing A-P and lateral lumbar

films, and shortly thereafter the radiologist called me VERY concerned

about the guy's right hip. She said she hadn't seen anything quite like

that before and recommended MRI of the hip ASAP. She also added that his

plan to have hip replacement surgery will undoubtedly be delayed until

whatever condition he has is accurately diagnosed and attended to. She,

as do I, feel that there isn't enough density in the ilium to anchor a

prosthesis due to the honeycomb effect around the (former) acetabulum.

I'll keep ya'll posted on this one.

Lyndon McGill, D.C.

Salem, Oregon

Sunny Kierstyn wrote:

> Lyndon,

>

> If it is already planned, believe me....they already have or will find

> a way to seat it. Perhaps a graft?

>

> Sunny

>

>

> Sunny Kierstyn, RN DC

> Fibromyalgia Care Center of Oregon

> 2677 Willakenzie Road, 7C

> Eugene, Oregon, 97401

> 541- 654-0850; Fx; 541- 654-0834

>

>

>

>

> ------------------------------------------------------------------------

>

> From: twogems@...

> Date: Wed, 2 Sep 2009 11:57:50 -0700

> Subject: Degenerative hip disease

>

>

> Docs/DABCRs:

>

> A 62-year-old male came in to see me yesterday carrying x-rays of his

> right hip that showed advanced degenerative changes---quite a bit more

> than I'm used to seeing. Not only was the femoral head blunted, but the

> entire acetabular rim was eroded and haloed by a honeycomb effect of the

> ilium. He's apparently going to have a hip replacement in a few months,

> once he gets his things in order. However, I'm concerned about how much

> of the ilium they'll have to shave to get to solid bone. Anyone else on

> the list see this type of thing?

>

> Lyndon McGill, D.C.

> Salem, Oregon

>

>

>

>

> ------------------------------------------------------------------------

> With Windows Live, you can organize, edit, and share your photos.

> Click here. <http://www.windowslive.com/Desktop/PhotoGallery>

[Guest guest]

Sunny et al:

The A-P pelvis x-ray the patient brought in only showed up through the

lower half of L3 and he had no lateral, except to say that he had a

" spondy. " Therefore, I decided to get A-P and lateral films to more

fully assess his condition. Since medicare won't pay for x-rays by a

D.C., he requested that I send him to Diagnostic Imaging here in Salem.

Well, he presented there today for standing A-P and lateral lumbar

films, and shortly thereafter the radiologist called me VERY concerned

about the guy's right hip. She said she hadn't seen anything quite like

that before and recommended MRI of the hip ASAP. She also added that his

plan to have hip replacement surgery will undoubtedly be delayed until

whatever condition he has is accurately diagnosed and attended to. She,

as do I, feel that there isn't enough density in the ilium to anchor a

prosthesis due to the honeycomb effect around the (former) acetabulum.

I'll keep ya'll posted on this one.

Lyndon McGill, D.C.

Salem, Oregon

Sunny Kierstyn wrote:

> Lyndon,

>

> If it is already planned, believe me....they already have or will find

> a way to seat it. Perhaps a graft?

>

> Sunny

>

>

> Sunny Kierstyn, RN DC

> Fibromyalgia Care Center of Oregon

> 2677 Willakenzie Road, 7C

> Eugene, Oregon, 97401

> 541- 654-0850; Fx; 541- 654-0834

>

>

>

>

> ------------------------------------------------------------------------

>

> From: twogems@...

> Date: Wed, 2 Sep 2009 11:57:50 -0700

> Subject: Degenerative hip disease

>

>

> Docs/DABCRs:

>

> A 62-year-old male came in to see me yesterday carrying x-rays of his

> right hip that showed advanced degenerative changes---quite a bit more

> than I'm used to seeing. Not only was the femoral head blunted, but the

> entire acetabular rim was eroded and haloed by a honeycomb effect of the

> ilium. He's apparently going to have a hip replacement in a few months,

> once he gets his things in order. However, I'm concerned about how much

> of the ilium they'll have to shave to get to solid bone. Anyone else on

> the list see this type of thing?

>

> Lyndon McGill, D.C.

> Salem, Oregon

>

>

>

>

> ------------------------------------------------------------------------

> With Windows Live, you can organize, edit, and share your photos.

> Click here. <http://www.windowslive.com/Desktop/PhotoGallery>