Periosteal reaction of the femur following total hip arthroplasty can be a sign of periprosthetic joint infection (PJI). A case report of Staphylococcal PJI and management

We present a rare case of a patient who exhibited a periosteal reaction of the femur following total hip arthroplasty (THA). Α 2-stage revision procedure was performed and the patient's symptoms resolved. Subsequent analysis of soft tissue cultures revealed the presence of Staphylococcus capitis infection. This case report highlights the importance of considering infection as a potential cause of persistent periosteal reaction following THA and emphasizes the significance of accurate diagnosis and prompt management.

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Publication Details

Journal
Radiology Case Reports
Published
2026-03-27
DOI
https://doi.org/10.1016/j.radcr.2026.02.064
Primary Topic
Orthopedic Infections and Treatments
Type
article
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article

Periosteal reaction of the femur following total hip arthroplasty can be a sign of periprosthetic joint infection (PJI). A case report of Staphylococcal PJI and management

Nifon K. Gkekas, Vasileios Akrivos, Theodoros Mylonas, Theofilos Karachalios et al.
Radiology Case Reports
Orthopedic Infections and Treatments
article

Periosteal reaction of the femur following total hip arthroplasty can be a sign of periprosthetic joint infection (PJI). A case report of Staphylococcal PJI and management

Nifon K. Gkekas, Vasileios Akrivos, Theodoros Mylonas, Theofilos Karachalios, George Α. Komnos
article en

Abstract

We present a rare case of a patient who exhibited a periosteal reaction of the femur following total hip arthroplasty (THA). Α 2-stage revision procedure was performed and the patient's symptoms resolved. Subsequent analysis of soft tissue cultures revealed the presence of Staphylococcus capitis infection. This case report highlights the importance of considering infection as a potential cause of persistent periosteal reaction following THA and emphasizes the significance of accurate diagnosis and prompt management.

Radiology Case ReportsVol. 21(6)
University of Thessaly (GR)
Openalex Percentile: Top 5%
Orthopedic Infections and Treatments
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