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Cysts in hip socket

Posted , 5 users are following.

denise79180
denise79180

Hi all. I'm 53. Had hip dysplasia undiagnosed and joint hypermobility. 

I've had my right hip replaced last May. Couldn't be happier. 

My left hip is needing to be done as soon as I say I'm ready. It's not quite as bad painwise as the right was as the arthritis is not as bad. Have some pretty sever pain but not everyday. 

I have cysts in the hip socket. They show on X-ray as black holes. 1 Dr said they could cause bone to crumble and that's not repairable. I don't want that happening. Has any one else had these cysts?  Trying to work out when to go for hip replacement. 

Thanks all. 

0 likes, 12 replies

12 Replies

  • RichardKen
    RichardKen denise79180

    Posted

    Dear Denise

    What bad luck. Were you told what caused this? Cysts cause osteolysis leading as you are aware to bone degradation. This seems to be one of the most common causes of hip prosthesis failure from what I've read when researching osteolysis of my five year old failing ankle replacement due to the same issue.

    Going on what a number of surgeons have told me I would think that it is a matter of removing the cyst and filling the cavity with surplus bone from your hip surgery. The alternative would be to use a substitute bone paste which would be pumped into the cyst cavity.

    It is essential that the cyst cleaning out and filling is done well to stop it becoming a problem in the future.

    Hope that helps.

    Cheers Richard

    • denise79180
      denise79180 RichardKen

      Posted

      Yea it's a bummer. My other hip had it also. Bone grafts were done. 

    • denise79180
      denise79180 RichardKen

      Posted

      Hi Richard. The hip dysplasia has been fixed. New shape holds the new hip better. Couldn't see the cyst holes in the X-ray. I'll have to ask next visit if surgeons actually filled them. 

    • RichardKen
      RichardKen denise79180

      Posted

      Dear Denise

      Have I got this right, you could see the cyst in the hip that is due to be replaced but in a more recent X- ray you could not?

      I'm a bit surprised that your surgeon has not dealt with the cyst issue as a matter of some urgency given the damage it has the potential of doing. Perhaps he is holding back to do it at the same time as the hip replacement. That would make sense if the hip replacement is going to be very soon.

      All the best, Richard

    • denise79180
      denise79180 RichardKen

      Posted

      Hi Richard. Yes you can see the cysts in the waiting hip. I'm on the list to be done as soon as I'm ready. Was going to delay but don't think I will now. 

      You can no longer see the cysts on the hip that's been replaced. Unless I just didn't look properly. 

  • lyn1951
    lyn1951 denise79180

    Posted

    My hips had cysts as well, one on the pelvis side, and well as multiple on the ball of the hip, or what was left of it, no wonder I had been in agony for years.

    Specialist when he eventually saw me was horrified, wanted to admit me there and then, 10 days later booked for surgery he considered it that urgent.  He also warned me not to step down any steps on that side.

    Regards hip surgery, sooner the better, you are going to have to wait if you are public, some waiting lists are a nightmare, and you will be surprised how fast you can go downhill. 

    I remember specialist saying my second hip would last about 2 years in his estimation, although arthiritis was there he thought it would serve me this time.

    I tore the cartledge out walking at 12 weeks after my first hip replacement, that put paid to my rehab, 13 weeks later saw the surgeon, and he x-rayed my hip and compared to x-rays I had done during my surgery, 25 weeks previous, you could see the difference in the gap between bones.

    At that point he decided I was to be put on the waiting list for surgery, 6 months later finally reached the top of the lists, and hip replaced, by that time in a wheelchair for the second time, could not walk, could not even go to the supermarket for groceries, a nightmare that I would not wish on anybody else.

    • denise79180
      denise79180 lyn1951

      Posted

      Omg that sounds terrible. I truely will take advice on board. I'll start the ball rolling now. I am public but it will only be 4 months wait at the most once specialist has my Drs letter. 👍  

      Thanks for sharing yr story. 

  • renee01952
    renee01952 denise79180

    Posted

    hi denise, 

    I am with the other forum members here to get that hip replacement done as soon as possible -- 

    what are you waiting for , darling ---

    It is a big decision (again) - you know now what you can expect (although it might be a totally different experience) and you recovery went really well ...

    Were there cysts in your other hip too?

    love to hear what decision you will make 

    big warm hug

    renee

    • denise79180
      denise79180 renee01952

      Posted

      Hi Renee. Yes there were cysts in the other hip. It's so much better. 

      I'm going to see my Gp and set the ball rolling. Hope only to wait about 4 months. 

      Don't want to end up crippled and it will be nice to have no pain. 

  • william06380
    william06380 denise79180

    Posted

    My wife had her right hip replaced back in 2002 with a ball and socket.  The stainless steel ball was attached to a section of grid titanium that went down into the femur and bone tissue could fill in around the lattices.  Now the doctor told her that she needs surgery to remove the material from the plastic (nylon?) bushing from her stainless steel socket.  The material has gotten behind her socket, and created a large cyst.  The doctor said he will replace her plastic bushing, and remove the cyst, replacing it with a bone graft.  Does the bone graft hurt?  Is it  terribly painful, and does it take long to recover from it?

    Thanks,

    William

    • RichardKen
      RichardKen william06380

      Posted

      Dear William

      I'm very sorry to hear about your wife's hip problems but I am rather confused with what the surgery involved as it sounds quite unusual.

      A normal prosthesis is based on a lengthy curved stem which is usually titanium and which is inserted down into the femur in a hole prepared by drilling and reaming. This is retained in place by being a tight fit and then the bone grows into it over the months fixing it firmly in place.

      An alternative fixing method sometimes used is that the stem is held in place with a special cement.

      A titanium or ceramic ball is then fitted to the top of the stem. The ball fits into a poly, metal or ceramic cup that is held in a metal cage.This assembly is cemented and or screwed into a prepared cavity in the hip.

      It sounds to me that a full revision is going to be needed which as you have suggested may involve a bone transplant.

      Bone transplants are sometimes taken from the patient, sometimes from stock material and sometimes an artificial bone material is used.

      I think that you need to find a really good surgeon who has a lot of experience of doing hip revisions to sort out your wife's hip.

      I hope that what I've suggested makes some sort of sense but I'm sure others will have alternative suggestions.

      Good luck. Richard

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