Haemophilic arthropathy: knee joints

Case contributed by Dr Sinéad Culleton

Presentation

Haemophilia A with recurrent joint bleeds and increasing knee pain.

Patient Data

Age: 45 years
Gender: Male

Left Knee

Modality: MRI

Tri-compartmental diffuse cartilage loss with erosive changes consistent with history of hemophiliac arthropathy with some evidence of active inflammatory change. Diffuse medial and lateral meniscal maceration with minimal residual meniscal tissue remaining.

Right Knee

Modality: MRI

Complete cartilage loss in all three compartments of the knee joint . Chronic medial and lateral meniscal disintegration. No remaining menisci.

Case Discussion

Haemophilic arthropathy refers to permanent joint disease occurring in haemophilia sufferers as a long-term consequence of repeated haemarthrosis.  Around 50% of patients with haemophilia will develop a severe arthropathy.

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Case Information

rID: 40636
Case created: 28th Oct 2015
Last edited: 3rd May 2016
Inclusion in quiz mode: Excluded

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