The shelf aging of irradiated ultrahigh-molecular-weight polyethylene (UHMWPE) causes subsurface oxidation, which leads to failure in UHMWTE orthopedic components, yet the mechanisms causing subsurface oxidation remain unclear. The shelf aging of gamma-irradiated UHMWTE bars has been studied with electron paramagnetic resonance (EPR) and nuclear magnetic resonance (NMR) imaging and with microtoming and Fourier transform infrared microscopy. The bars initially contained only allyl radicals, and upon air exposure, a surface layer of peroxyl radicals formed through the reaction of allyl radicals with oxygen. Importantly, a band of low radical intensity just beneath the peroxyl layer became apparent. NMR imaging showed a zone of altered proton relaxation in this zone. With increasing time, surface peroxyl radicals persisted in comparison with the interior allyl radicals, although oxygen did not appear to penetrate any more deeply into the bar. The area of maximal oxidation and mechanical disruption, measured after 3 years, was at the interface between the zone of exterior peroxyl radicals and the zone of low radical intensity. We present a mechanism involving the intermediacy of sterically strained reactive dialkyl peroxides at this interface to explain subsurface oxidation. We also demonstrate that EPR and NMR imaging provides information that could potentially be used to identify subsurface oxidized UHMWTE components before failure. (C) 2004 Wiley Periodicals, Inc.