Haemophilic arthropathy of the elbow.
Patients affected by haemophilia commonly have recurrent intra-articular bleeding which leads to progressive destruction and instability of joints. Severe arthropathy of the elbow is complicated by pain, stiffness and loss of function which can be debilitating. Conservative measures such as analgesics, physiotherapy and orthotics are commonly used in the management of these patients. Surgery is considered when conservative measures fail to control the symptoms. Total elbow replacement is now increasingly performed with the advances made in factor replacement therapy and evolution of better implants and techniques of total elbow arthroplasty. The pathogenesis, clinical features and radiological changes of haemophilic arthropathy of the elbow are described in this review article.
Utukuri
M M
MM
Department of Orthopaedics, The Royal Free Hospital, London, UK. utukurimm@yahoo.co.uk
Goddard
N J
NJ
D000208:Acute Disease; D019643:Arthroplasty, Replacement / Q000379:methods; D004551:Elbow Joint / Q000503:physiopathology* / Q000601:surgery; D015658:HIV Infections / Q000517:prevention & control; D006395:Hemarthrosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006467:Hemophilia A / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D009784:Occupational Diseases / Q000517:prevention & control; D011859:Radiography; D011884:Radius / Q000601:surgery; D000074402:Synovectomy; D013583:Synovial Membrane / Q000187:drug effects