Hemarthrosis

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hemarthrosis

[‚hē·mär′thrō·səs]
(medicine)
Passage of blood into a joint.

Hemarthrosis

 

hemorrhage into a joint. Trauma is the most frequent cause of hemarthrosis. Hemarthrosis can be identified most clearly in the talocrural, anconal, and radiocarpal joints, and especially the knee joints. As a result of hemarthrosis the joint, after one or two hours, becomes swollen and painful, and movements in it are sharply limited; fluctuation can be felt upon palpation. Treatment for hemarthrosis includes rest, aspiration of the blood and application of an elastic bandage or removable plaster cast.

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This bleeding disorder is rare and surprisingly less severe than haemophilia, where 20% of patients develop haemarthrosis. Patients generally present with bleeding at mucosal sites, e.g.
When synovitis becomes chronic, the condition is worsened by the recurrent haemarthrosis episodes, accelerating the degenerative process known as haemophilic arthropathy, which leads to alterations of the joints, pain, muscular atrophy, and functional impairment [16].
Kindsfater[1] showed a mean time at presentation of haemarthrosis at 2 years after arthroplasty.
This finding remains to be explained as to why this symptom is more frequent in RIBD than in hemophilia A and B, where haemarthrosis is the most common symptom.
The WFH reported haemarthrosis (70-80%), muscle haematoma (10-20%), other bleeding (5-10%) and intracranial bleeding as < 5%.
Acute patellar dislocations account for about 3% of all knee injuries and are the second most common cause of knee haemarthrosis. However, there is as yet no consensus regarding treatment of acute patellar dislocation.10 In our case, we decided to perform surgery because of accompanying ligament injuries and we feel that the results are better with operative compared to non-operative treatment.
In the present case, we performed total knee replacement (due to osteoarthritis) in a patient with recurrent haemarthrosis. However, during the operation, we observed severe black colouration of the knee articular cartilage, due to the deposition of hemosiderin and lipofuscin after the recurrent haemarthrosis.
Common causes of joint pain * Reactive arthritis * Juvenile idiopathic arthritis * Septic arthritis/osteomyelitis * Haemarthrosis (e.g.
In some seriously injured patients having haemarthrosis, aspiration of the fluid with gentle lavage may render them more comfortable.
It may also be difficult to operate on any patient with a recent haemarthrosis as visualisation may be compromised.
The presence of a knee haemarthrosis (Table II) is positive for an ACL injury in 70% of cases.