| Summary points: | A 38-year-old presents with 2-year history of progressive and severe hip pain as well as limited and painful range of motion 10 years after having a gun shot injury to his right hip. This case report describes the history, radiological findings, and surgical outcome, and includes various images. The authors describe the foreign bodies encapsulation process, factors responsible for the dissolution of lead fragments in synovial fluid, factors that cause mechanical destruction of joint, and the best approach to management of patients with lead arthropathy. |