Hemarthrosis
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| Hemarthrosis Classification and external resources |
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| ICD-10 | M25.0 |
|---|---|
| ICD-9 | 719.1 |
| DiseasesDB | 29653 |
| MeSH | D006395 |
Hemarthrosis (or haemarthrosis, plural h(a)emarthroses) is a bleeding into joint spaces.
[edit] 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 suffering from hemophilia.
It can be associated with knee joint arthroplasty.[1]
[edit] 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[2] and increased medical therapy to prevent further bleeding episodes, although it is controversial whether clotting factor administration adequately prevents hemarthroses.[3]
[edit] References
- ^ Ohdera T, Tokunaga M, Hiroshima S, Yoshimoto E, Matsuda S (2004). "Recurrent hemarthrosis after knee joint arthroplasty: etiology and treatment". J Arthroplasty 19 (2): 157–61. PMID 14973857.
- ^ Dunn AL. Management and prevention of recurrent hemarthrosis in patients with hemophilia. Curr Opin Hematol 2005;12:390-4. PMID 16093785.
- ^ Stobart K, Iorio A, Wu JK. Clotting factor concentrates given to prevent bleeding and bleeding-related complications in people with hemophilia A or B. Cochrane Database Syst Rev 2006;(2):CD003429. PMID 16625581.
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