Haemophilic arthropathy (ankle MRI)

Case contributed by Dr Andrew Dixon

Presentation

Ankle pain. Known history of haemophilia.

Patient Data

Age: 35
Gender: Male

There is marked synovial proliferation at the ankle and posterior subtalar joints which appears of low signal on all sequences. There is some contrast enhancement consistent with synovitis. There is marrow oedema within the talus and calcaneum and degererative disease of the posterior subtar joint.

Anterior and posterior ankle soft-tissue density corresponding to the synovial proliferation on MRI. 

Case Discussion

There is marked synovial proliferation at the ankle and posterior subtalar joints which appears of low signal on all sequences. There is some contrast enhancement consistent with synovitis. There is marrow oedema within the talus and calcaneum and degererative disease of the posterior subtar joint.

This patient had known haemophilia and the features are consistent with haemophilic arthropathy with haemosiderin stained prolifferative synovitis due to repated episodes of haemarthrosis.

Plain film shows minimal changes despite the marked synovial prolifferation seen on MRI. 

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Case information

rID: 9391
Case created: 11th Apr 2010
Last edited: 24th Sep 2015
Inclusion in quiz mode: Included

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