Sonographic evaluation of lipohemarthrosis: clinical and in vitro study.
The purpose of this study is to evaluate the role of sonography in diagnosing lipohemarthrosis. Sonography was performed on seven patients with intra-articular fractures of the knee, shoulder, and hip. An in vitro mixture of fat and blood was examined as the gold standard. In the patients scanned a few minutes after immobilization, a two-band appearance of joint effusion was present, representing a fat-blood level. One patient scanned 3 hours after immobilization showed a three-band appearance of joint effusion, corresponding to the layers of fat, serum and red blood cells. Results of this study indicate a high reliability of ultrasonography in detecting lipohemarthrosis.
Bianchi
S
S
Department of Radiology, E.O. Ospedali Galliéra, Genova, Italy.
Zwass
A
A
Abdelwahab
I F
IF
Ricci
G
G
Rettagliata
F
F
Olivieri
M
M
D000273:Adipose Tissue / Q000000981:diagnostic imaging / Q000473:pathology; D001769:Blood; D005122:Exudates and Transudates; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging*; D006395:Hemarthrosis / Q000000981:diagnostic imaging* / Q000209:etiology; D006620:Hip Fractures / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D066298:In Vitro Techniques; D017746:Joint Capsule / Q000000981:diagnostic imaging / Q000293:injuries; D007718:Knee Injuries / Q000150:complications / Q000000981:diagnostic imaging; D007719:Knee Joint / Q000000981:diagnostic imaging; D008023:Ligaments, Articular / Q000000981:diagnostic imaging; D008055:Lipids; D015203:Reproducibility of Results; D012784:Shoulder Fractures / Q000150:complications / Q000000981:diagnostic imaging; D013582:Synovial Fluid; D014463:Ultrasonography
D008055:Lipids