Infobox_Disease
Name = PAGENAME
Caption =
DiseasesDB = 29653
ICD10 = ICD10|M|25|0|m|20
ICD9 = ICD9|719.1
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj =
eMedicineTopic =
MeshID = D006395
Hemarthrosis (or haemarthrosis, plural h(a)emarthroses) is a bleeding into joint spaces.
Causes
It usually follows injury but occurs mainly in patients with a predisposition to hemorrhage such as those being treated with warfarin (or other anticoagulants) and patients suffering from hemophilia.
It can be associated with knee joint arthroplasty.[cite journal |author=Ohdera T, Tokunaga M, Hiroshima S, Yoshimoto E, Matsuda S |title=Recurrent hemarthrosis after knee joint arthroplasty: etiology and treatment |journal=J Arthroplasty |volume=19 |issue=2 |pages=157–61 |year=2004 |pmid=14973857 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0883540303005278] ]Treatment
In hemophilia it may occur spontaneously, and recurrent hemarthroses are a major cause of disability in that patient group due to hemophilic arthropathy, requiring synovectomy, joint replacement [Dunn AL. Management and prevention of recurrent hemarthrosis in patients with hemophilia. "Curr Opin Hematol" 2005;12:390-4. PMID 16093785.] and increased medical therapy to prevent further bleeding episodes, although it is controversial whether clotting factor administration adequately prevents hemarthroses. [Stobart K, Iorio A, Wu JK. Clotting factor concentrates given to prevent bleeding and bleeding-related complications in people with hemophilia A or B. "Cochrane Database Syst Rev" 2006;(2):CD003429. PMID 16625581.]
References