Haemophilic Arthropathy — Evaluation & Treatment
Recurrent hemarthroses → synovial hypertrophy → cartilage damage and arthropathy (ankle, knee, elbow). Evaluation: bleeding history, factor levels/inhibitors, US/MRI for synovitis and osteochondral damage. Acute bleed management: RICE + factor replacement to target levels (VIII or IX). Chronic synovitis: radiosynovectomy/arthroscopic synovectomy; advanced arthropathy—osteotomy, arthrodesis, arthroplasty. Always coordinate with hematology for perioperative factor protocol ± antifibrinolytics.
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10What is the primary cause of hemophilic arthropathy?
mcqWhich joint is most commonly affected in hemophilic arthropathy?
mcqWhat imaging modality is most useful for detecting early synovial changes in hemophilic arthropathy?
mcqWhat is the first-line management for acute hemarthrosis in hemophilic patients?
mcqWhich of the following surgical options is indicated for advanced arthropathy in hemophilia?
mcqWhat role does physiotherapy play in the management of hemophilic arthropathy?
mcqWhat is a common feature observed on plain radiographs in advanced hemophilic arthropathy?
mcqIn managing chronic synovitis due to hemophilic arthropathy, which treatment option is often considered?
mcqWhat is an important consideration when planning surgery for patients with hemophilic arthropathy?
mcqWhat is the main goal of replacement therapy in patients with hemophilia?