Haemophilic arthropathy - knee

Case contributed by Dr Salman Albakheet

Presentation

Known case of haemophilia B with chronic right knee arthritis.

Patient Data

Age: 9 years
Gender: Male
X-ray

There is squaring of the distal epiphysis of right femur as well as proximal epiphysis of the right tibia associated with widening of the intercondylar notch and synovial thickening.

MRI

There is diffuse synovial thickening with characteristic dark signal intensity on pulse sequences denoting hemosiderin deposition. Denudation of the articular cartilage is identified in particular at the lateral femoral condyle with associated subchondral bony erosion/cyst with hemosideric content. Enlargemnt of the distal femoral condyles with widening of the intercondylar notch as well as irregularity of the articular surfaces. Small joint effusion is noted within the suprapatellar pouch.

Case Discussion

Findings are consistent with haemophilic arthropathy with siderotic synovitis.

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Case information

rID: 53061
Case created: 29th Apr 2017
Last edited: 30th Apr 2017
Inclusion in quiz mode: Included

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