Hemarthrosis
Etiology[edit | edit source]
Hemarthrosis literally means blood in the joint
Definition[edit | edit source]
It is defined by bleeding into and swelling of a joint
Causes[edit | edit source]
Most cases are either due to trauma, injection, surgery or bleeding disorders
Signs and symptoms[edit | edit source]
- Swelling
- Pain
- Limitation in joint movement
- Risk of infection
- Warmth
Diagnosis[edit | edit source]
- A physical examination and history
- Synovial Fluid analysis - Reddish-colored hue of the sample is an indication of the blood being present.
- X-rays, CT/MRI imaging, and or joint aspiration
Treatment[edit | edit source]
Treatment depends on the cause and may include pain control, anti-inflammatory medications, antibiotics, synovectomy and or surgery.
Hemophilia and hemarthrosis[edit | edit source]
In hemophilia it may occur spontaneously, and recurrent hemarthroses are a major cause of disability in hemophilacs leading to hemophilic arthropathy, requiring synovectomy, joint replacement. Reducing hemarthroses events using intravenous administration of blood clotting factor concentrate on a regular basis starting in early childhood, reduces joint deterioration and increases the person's quality of life compared to "on demand" treatment is recommended.
Complications[edit | edit source]
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.[1]
| Hemarthrosis Resources | |
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- ↑ Goldberg A, Stansby G "Surgical Talk" 2nd edition
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