Metallosis with an associated cutaneous pigmentation as a result of metal dispersion has not been reported in the literature. A case is described in a patient who developed an extensive metallosis that presented with cutaneous pigmentation 8 years after a reverse shoulder replacement.
HaddadFS, ThakrarRR, HartAJ,. Metal-on-metal bearings: the evidence so far. J Bone Joint Surg Br2011; 93: 572–9.
2.
SheaKG, BloebaumRD, AventJM, BirkT, SamuelsonKA. Analysis of lymph nodes for polyethylene particles in patients who have had a primary joint replacement. J Bone Joint Surg Am1996; 78: 497–504.
3.
AginsHJ, AlcockNW, BansalM,. Metallic wear in failed titanium-alloy total hip replacements. A histological and quantitative analysis. J Bone Joint Surg Am1988; 70: 347–56.
4.
DaviesAP, WillertHG, CampbellPA, LearmonthID, CaseCP. An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements. J Bone Joint Surg Am2005; 87: 18–27.
5.
EnghCAJr, MooreKD, VinhTN, EnghGA. Titanium prosthetic wear debris in remote bone marrow. A report of two cases. J Bone Joint Surg Am1997; 79: 1721–5.
6.
UrbanRM, TomlinsonMJ, HallDJ, JacobsJJ. Accumulation in liver and spleen of metal particles generated at nonbearing surfaces in hip arthroplasty. J Arthroplasty2004; 19(Suppl 3): 94–101.
7.
KorovessisP, PetsinisG, RepantiM, RepantisT. Metallosis after contemporary metal-on-metal total hip arthroplasty. Five to nine-year follow-up. J Bone Joint Surg Am2006; 88: 1183–91.
8.
FujishiroT, MoojenDJ, KobayashiN, DhertWJ, BauerTW. Perivascular and diffuse lymphocytic inflammation are not specific for failed metal-on-metal hip implants. Clin Orthop Relat Res2011; 469: 1127–33.
9.
KhanWS, AgarwalM, MalikAA, CoxAG, DentonJ, HoltEM. Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement. J Bone Joint Surg Br2008; 90: 502–5.