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Garnier R, Poupon J, Djebrani-Oussedik N, Langrand J. Titanium cutaneous metallosis after reverse total shoulder arthroplasty. JSES REVIEWS, REPORTS, AND TECHNIQUES 2022; 2:190-193. [PMID: 37587966 PMCID: PMC10426703 DOI: 10.1016/j.xrrt.2022.01.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 08/18/2023]
Affiliation(s)
- Robert Garnier
- Centre antipoison de Paris, Fédération de toxicologie (FeTox), Hôpital Fernand-Widal, APHP, Paris, France
| | - Joël Poupon
- Laboratoire de Toxicologie biologique, Fédération de toxicologie (FeTox), Hôpital Lariboisière, APHP, Paris, France
| | - Nouzha Djebrani-Oussedik
- Laboratoire de Toxicologie biologique, Fédération de toxicologie (FeTox), Hôpital Lariboisière, APHP, Paris, France
| | - Jérôme Langrand
- Centre antipoison de Paris, Fédération de toxicologie (FeTox), Hôpital Fernand-Widal, APHP, Paris, France
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Poortvliet PC, Mellick G, Coyne T, Silburn P. A Rare Case of Green Gelatinous Mass Formation on a Deep Brain Stimulation Implantable Pulse Generator. J Mov Disord 2020; 14:81-83. [PMID: 32854483 PMCID: PMC7840233 DOI: 10.14802/jmd.20050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 06/26/2020] [Indexed: 11/24/2022] Open
Affiliation(s)
- Peter C Poortvliet
- Griffith Institute for Drug Discovery, Griffith University, Brisbane, Australia
| | - George Mellick
- Griffith Institute for Drug Discovery, Griffith University, Brisbane, Australia
| | - Terry Coyne
- Queensland Brain Institute, The University of Queensland, Brisbane, Australia
| | - Peter Silburn
- Queensland Brain Institute, The University of Queensland, Brisbane, Australia
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Shapiro JA, Eskildsen SM, Del Gaizo DJ. Systemic cobaltism manifesting as oral mucosal discoloration and metallic gustation after metal-on-metal hip resurfacing. Arthroplast Today 2018; 4:436-440. [PMID: 30560172 PMCID: PMC6287233 DOI: 10.1016/j.artd.2018.06.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 06/27/2018] [Accepted: 06/27/2018] [Indexed: 01/23/2023] Open
Abstract
Systemic cobaltism is a debilitating complication of metal-on-metal (MoM) arthroplasty. In this report, we review a case of a 54-year-old female with metallosis from a MoM hip resurfacing and varying degrees of black discoloration of her tongue and metallic gustation as a result of systemic cobaltism. After explanting the metal components, thorough debridement, and conversion to ceramic-on-polyethylene arthroplasty, the patient's oral mucosal discoloration and metallic gustation resolved. This represents the first documentation of systemic cobaltism from MoM hip resurfacing manifesting as oral mucosal discoloration and metallic gustation with resolution after explant, debridement, and conversion to ceramic-on-polyethylene total hip arthroplasty.
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Affiliation(s)
- Joshua A Shapiro
- Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC, USA
| | - Scott M Eskildsen
- Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC, USA
| | - Daniel J Del Gaizo
- Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC, USA
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Sochol KM, Charen DA, Andelman SM, Parsons BO. Cutaneous metallosis following reverse total shoulder arthroplasty. J Shoulder Elbow Surg 2018; 27:e230-e233. [PMID: 29724672 DOI: 10.1016/j.jse.2018.02.074] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2018] [Accepted: 02/28/2018] [Indexed: 02/01/2023]
Affiliation(s)
- Kristen M Sochol
- Department of Orthopedics, Mount Sinai Hospital, New York, NY, USA.
| | - Daniel A Charen
- Department of Orthopedics, Mount Sinai Hospital, New York, NY, USA
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Jones R, Nwelue E, Romero JA, Brown TS. The painful total knee arthroplasty: Keys to diagnosis. ACTA ACUST UNITED AC 2018. [DOI: 10.1053/j.sart.2018.04.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Tasat DR, Domingo MG, Bruno ME, Guglielmotti MB, Olmedo DG. Titanium Nanoparticle Size Influences Trace Concentration Levels in Skin Appendages. Toxicol Pathol 2017; 45:624-632. [DOI: 10.1177/0192623317711808] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
As a result of biotribocorrosion, the surface of a titanium (Ti) biomedical device can be a potential source of systemic contamination with Ti nanoparticles (NPs). Although NPs can be chemically similar, differences in particle size may lead to different biological responses. The aim of this experimental study was to determine Ti trace levels in skin appendages and plasma and explore the influence of NP size on trace levels using a murine model. Results showed the presence of Ti traces in the nails, hair, and plasma. The concentration of the smallest NPs (5 Nm) was higher than that of 10 Nm NPs in all the studied samples. Irrespective of NP size, Ti levels were always lower in plasma than in skin appendages. Ti levels were higher in nails than in hair. Ti NPs size influenced trace concentration levels in hair/nails, suggesting that 5 Nm Ti particles are more easily eliminated through these skin appendages. Given that the nails showed the highest levels of Ti, and that these skin appendages are not exposed to agents that can leach out Ti, as occurs with hair, we propose the nails as the most suitable and reliable bioindicator for monitoring systemic contamination with Ti.
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Affiliation(s)
- Deborah R. Tasat
- School of Science and Technology, National University of General San Martín, San Martín, Buenos Aires, Argentina
- Department of Histology and Embryology, School of Dentistry, University of Buenos Aires, Buenos Aires, Argentina
| | - Mariela G. Domingo
- Department of Oral Pathology, School of Dentistry, University of Buenos Aires, Buenos Aires, Argentina
| | - Marcos E. Bruno
- Department of Oral Pathology, School of Dentistry, University of Buenos Aires, Buenos Aires, Argentina
| | - María B. Guglielmotti
- Department of Oral Pathology, School of Dentistry, University of Buenos Aires, Buenos Aires, Argentina
- National Research Council (CONICET), Buenos Aires, Argentina
| | - Daniel G. Olmedo
- Department of Oral Pathology, School of Dentistry, University of Buenos Aires, Buenos Aires, Argentina
- National Research Council (CONICET), Buenos Aires, Argentina
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Callender VD, Cardwell LA, Munhutu MN, Bigby U, Rodney IJ. Cutaneous metallosis in patient with knee prosthesis composed of cobalt-chromium molybdenum alloy and titanium-aluminum-vanadium alloy. JAAD Case Rep 2014; 1:36-7. [PMID: 27075137 PMCID: PMC4802533 DOI: 10.1016/j.jdcr.2014.10.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
- Valerie D Callender
- Departments of Dermatology, Howard University College of Medicine, Washington, DC
| | - Leah A Cardwell
- Departments of Dermatology, Howard University College of Medicine, Washington, DC
| | | | - Ulric Bigby
- Departments of Orthopedic Surgery, Howard University College of Medicine, Washington, DC
| | - Ife J Rodney
- Departments of Dermatology, Howard University College of Medicine, Washington, DC
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