This bleeding disorder is rare and surprisingly less severe than haemophilia, where 20% of patients develop haemarthrosis
Initial Presentation of Haemophilia Features Frequency Percentage Bruises and ecchymosis 22 55% Haemarthrosis
12 30% Scalp/ facial haematomas 3 7.
Unfortunately, the haemarthrosis
of the knee persisted, and the patient was referred to our institution at 3 years after the onset, due to refractory haemarthrosis
and osteoarthritis progression.
The authors agree with the proposed treatment pathway for recurrent unexplained haemarthrosis
This finding remains to be explained as to why this symptom is more frequent in RIBD than in hemophilia A and B, where haemarthrosis
is the most common symptom.
In some seriously injured patients having haemarthrosis
, aspiration of the fluid with gentle lavage may render them more comfortable.
It may also be difficult to operate on any patient with a recent haemarthrosis
as visualisation may be compromised.
The presence of a knee haemarthrosis
(Table II) is positive for an ACL injury in 70% of cases.
Preoperatively, investigate the presence of petechiae, ecchymotic lesions, telangiectasias, hepatosplenomegaly and haemarthrosis
of the joints.
Collateral ligament tears usually tear the capsule and the blood leaks into the surrounding tissues, causing diffuse swelling rather than haemarthrosis
In the absence of a bleeding disorder, the most common underlying pathology for recurrent haemarthrosis
is impingement of the proliferative synovium.
The finding of haemarthrosis
was associated in two cases with presence of intercondylar fractures.