A Review of Current Management of Knee Hemarthrosis in the Non-Hemophilic Population

Cartilage
Nikhil PotpallyGerard A Malanga

Abstract

The knee joint is one of the most frequently injured joints in the body, and the resulting injury may often lead to the presence of a bloody effusion, or hemarthrosis. The acute management of this condition can have long-lasting implications, and may ultimately result in the early onset of osteoarthritis in this population. Heme, a breakdown product of erythrocytes, and associated pro-inflammatory mediators, are known to have deleterious interactions with cartilage and synovium. The presence of blood in a joint following injury can precipitate these effects and accelerate the degenerative changes in the joint. Currently, there is no consensus on the optimal management of a traumatic knee joint injury with a hemarthrosis. Nontraumatic hemarthosis, seen most commonly in hemophilia patients, has a set of established guidelines that does not routinely recommend drainage of the joint. This article presents a rationale for joint aspiration to minimize the harmful effects of blood following traumatic hemarthrosis.

References

Jan 1, 1992·International Orthopaedics·T WirthP Griss
Feb 1, 1995·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·D J Ogilvie-Harris, L Weisleder
Nov 1, 1993·The Journal of Bone and Joint Surgery. British Volume·N MaffulliC J Good
Jul 1, 1993·Journal of Pediatric Orthopedics·C L StanitskiF Fu
Mar 1, 1997·The American Journal of Sports Medicine·T AdalberthL S Lohmander
Sep 9, 2000·Annals of Internal Medicine·A C GelberM J Klag
Feb 25, 2003·Archives of Disease in Childhood·A G ClearyJ E Davidson
Mar 13, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Philip J RobertsJohn Travlos
Oct 12, 2004·The Journal of the American Academy of Orthopaedic Surgeons·James V LuckRichard S Finn
Jan 13, 2006·Proceedings of the National Academy of Sciences of the United States of America·Robert B WestMatt van de Rijn
Aug 22, 2006·Haemophilia : the Official Journal of the World Federation of Hemophilia·B RattrayG Young
Sep 29, 2007·Annals of the Rheumatic Diseases·A J GeirssonA Víkingsson
Jul 21, 2009·The Knee·J SaksenaG S E Dowd
Nov 17, 2009·Pediatric Emergency Care·David J Mathison, Stephen J Teach
Jul 1, 2010·Journal of Thrombosis and Haemostasis : JTH·L A Valentino
Jul 11, 2012·Haemophilia : the Official Journal of the World Federation of Hemophilia·A SrivastavaUNKNOWN Treatment Guidelines Working Group on Behalf of The World Federation Of Hemophilia
Sep 21, 2012·Expert Review of Hematology·Mindy L Simpson, Leonard A Valentino
Nov 14, 2012·Journal of Pediatric Orthopedics·David AbbasiShital N Parikh
May 15, 2013·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Kyeong Min SonHyun Ah Kim
Apr 23, 2014·The American Journal of Sports Medicine·Marie AskenbergerPer-Mats Janarv
Jun 25, 2015·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·Jianxin WeiYutong Zhao
Dec 30, 2015·Journal of Clinical Imaging Science·Derik L Davis, Prasann Vachhani
Jan 26, 2016·Seminars in Hematology·Tine WyseureAnnette von Drygalski
Apr 4, 2017·Haemophilia : the Official Journal of the World Federation of Hemophilia·J HanleyUNKNOWN Musculoskeletal Working Party of the UKHCDO
Aug 24, 2017·JBJS Reviews·Alexander D Liddle, E Carlos Rodriguez-Merchan
Feb 6, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Bheeshma RaviMark Spangehl
Apr 9, 2019·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Hortensia De la Corte-RodriguezVictor Jimenez-Yuste

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

ZFA. Zeitschrift für Allgemeinmedizin
K P Benedetto, W Glötzer
Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis
R P Jakob
Chirurgia narzadów ruchu i ortopedia polska
J Homik, Z Dobrowolski
© 2021 Meta ULC. All rights reserved