Haemophilic arthropathy

Case contributed by Dr Abdallah Khateeb

Presentation

Known case of a systematic disorder. There is also history of knee trauma. Joint movement is painful and limited.

Patient Data

Age: 7-year-old
Gender: Male
X-ray

The right knee joint shows moderate effusion, decreased joint space, subchondral erosions, and the physis is narrow compared to the other knee. The intercondylar notch is irregular and wide. 

MRI
  • moderate joint effusion
  • decreased joint space 
  • subchondral erosions and cystic changes
  • cartilage loss
  • the synovium is thickened with multifocal low signal intensity
  • the intercondylar notch is widened with erosive changes

 

Case Discussion

This young patient has haemophilia A, with multiple previous episodes of knee pain, also he sustained significant knee trauma previously, which altogether lead to these typical findings of advanced or neglected haemophilic arthropathy too early.

Due to repetitive episodes of intra-articular bleeds, the synovium got stained with blood products (hemosiderin), seen as low signal covering the synovium.

PlayAdd to Share

Case information

rID: 45521
Case created: 27th May 2016
Last edited: 2nd Jun 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.