Konala et al. Journal of Medical Case Reports 2011, 5:67 http://www.jmedicalcasereports.com/content/5/1/67 Page 3 of 5 Figure 3 Comparison of anteroposterior pelvic hip radiographs preoperatively and six weeks and three months post-operatively (from left to right). Case presentation A 79-year-old, active Caucasian woman with left groin pain was referred to the orthopaedic clinic by her general practitioner to undergo THA. She complained about pro- gressive left groin pain for 12 months that was worst in the morning and exacerbated by physical activity and pro- longed sitting. Clinical examination revealed left-sided antalgic gait and tenderness in her left groin. Left hip internal rotation was limited to 10°. Anteroposterior pelvic and true lateral hip radiographs revealed typical signs of Figure 4 A technetium-99 m bone scan revealed widespread osteolytic and osteoblastic lesions in the entire pelvis, spine and chest.