Hemarthrosis
Hemarthrosis | |
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Lipohemarthrosis (blood and fat in the joint space) seen in a person with a subtle tibial plateau fracture. The arrow indicates a fluid level between the upper fat component and the lower blood component.
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Classification and external resources | |
Specialty | Lua error in Module:Wikidata at line 446: attempt to index field 'wikibase' (a nil value). |
ICD-10 | M25.0 |
ICD-9-CM | 719.1 |
DiseasesDB | 29653 |
Patient UK | Hemarthrosis |
MeSH | D006395 |
Hemarthrosis (or haemarthrosis, plural h(a)emarthroses) is a bleeding into joint spaces. It is a common feature of Hemophilia.The presence of it excludes the ITP.
Contents
Causes
It usually follows injury but occurs mainly in patients with a predisposition to hemorrhage such as those being treated with warfarin (or other anticoagulants) and patients with hemophilia.
It can be associated with knee joint arthroplasty.[1]
It has also been reported as a part of hemorrhagic syndrome in the Crimean-Congo Hemorrhagic Fever, suggesting a viral etiology to the bleeding in a joint space.[2][3]
Treatment
In hemophilia it may occur spontaneously, and recurrent hemarthroses are a major cause of disability in that patient group due to hemophilic arthropathy, requiring synovectomy, joint replacement[4] and increased medical therapy to prevent further bleeding episodes, although it is controversial whether clotting factor administration adequately prevents hemarthroses.[5]
Complications
Up to a quarter of all severe ligament or capsular knee injuries leading to a haemarthrosis are associated with cartilage damage that can lead to progressive degenerative arthritis.[6]
References
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- ↑ Goldberg A, Stansby G "Surgical Talk" 2nd edition
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