Late clinical, plain X-ray and magnetic resonance imaging findings in haemophilic joints treated with radiosynoviorthesis.
The clinical, plain X-ray and magnetic resonance imaging (MRI) findings were studied in 13 haemophilic joints previously treated with radiosynoviorthesis. (32)P had been injected into the joints at a median of 16 years earlier in an attempt to halt recurrent haemorrhage. Prior to (32)P injection, the majority of joints demonstrated bone damage evident on plain X-ray, secondary to recurrent haemorrhage. At the follow-up evaluation we found plain X-rays were adequate to identify cysts, erosions and cartilage loss in these very damaged joints. MRI was superior to clinical examination and plain X-ray in identifying synovial hyperplasia and effusions.
Nuss
R
R
Mountain States Regional Hemophilia and Thrombosis Centre, University of Colorado Health Sciences Centre, Denver, Colorado, USA. rachelle.nuss@uchsc.edu
Kilcoyne
R F
RF
Rivard
G E
GE
Murphy
J
J
D005260:Female; D006395:Hemarthrosis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000532:radiotherapy*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010761:Phosphorus Radioisotopes / Q000008:administration & dosage*; D011859:Radiography
D010761:Phosphorus Radioisotopes