title: Hemophilic arthropathy of the temporomandibular joint: review of the literature, a case report, and discussion.
abstract: Hemarthrosis of extremity joints in patients with hemophilia has been well documented. However, hemarthrosis of the temporomandibular joint in patients with coagulopathies appears to be rare. Consequently, management of a temporomandibular joint hemarthrosis is difficult because of the lack of treatment guidelines. The purpose of this article is to review the pathophysiology of hemophilic arthropathy and its management. A case of temporomandibular joint hemophilic arthropathy in a patient with a factor XI deficiency will be presented. A brief review of factor XI deficiency and a hypothetical pathophysiological mechanism for internal derangement induced by myofascial pain dysfunction are included.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center.
authors.forename: G J
authors.initials: GJ
authors.lastname: Nishioka
authors.forename: J E
authors.initials: JE
authors.lastname: Van Sickels
authors.forename: H B
authors.initials: HB
authors.lastname: Tilson
mesh_terms: D000293:Adolescent; D002358:Cartilage, Articular / Q000473:pathology; D005173:Factor XI Deficiency / Q000150:complications*; D005260:Female; D006395:Hemarthrosis / Q000209:etiology*; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology; D013705:Temporomandibular Joint Disorders / Q000209:etiology*; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications