Subchondral haematoma. The missing link in understanding haemophilic arthropathy?
Hamostaseologie
; 37(2): 104-106, 2017 May 10.
Article
en En
| MEDLINE
| ID: mdl-27598535
ABSTRACT
Haemophilic arthropathy is a complex multifactorial disorder that poses significant challenges to both the treating haematologist and arthroplasty surgeon. Its pathogenesis is incompletely understood. Recent literature has concentrated on the toxic effects of iron and the characteristic inflammatory synovitis. Discussion of the role of subchondral bleeding in joint damage has been neglected. A case of haemophilic arthropathy with extensive evidence of subchondral bleeding and related osteochondral destruction is presented. RESULT:
The relevance of this mechanical pathway in the future management of haemophilic arthropathy is discussed with reference to recent literature.CONCLUSION:
Clinicians should consider its importance when deciding whether to manage patients expectantly or with prophylactic factor replacement.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Artroplastia de Reemplazo de Rodilla
/
Hemartrosis
/
Hemofilia A
/
Articulación de la Rodilla
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Hamostaseologie
Año:
2017
Tipo del documento:
Article