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Rapidly destructive arthropathy of the hip in haemophilia
Author(s) -
Ishiguro N.,
Takagi H.,
Ito T.,
Oguchi T.,
Takamatsu J.,
Iwata H.
Publication year - 2001
Publication title -
haemophilia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.213
H-Index - 92
eISSN - 1365-2516
pISSN - 1351-8216
DOI - 10.1111/j.1365-2516.2001.00475.x
Subject(s) - medicine , arthropathy , joint capsule , synovitis , magnetic resonance imaging , osteoarthritis , surgery , articular capsule of the knee joint , arthritis , pathology , radiology , knee joint , alternative medicine
The aetiology of rapidly destructive arthropathy is still being debated. We report a 48‐year‐old male haemophiliac who exhibited hip arthropathy that was similar to rapidly destructive arthropathy. The hip joint was destroyed 6 months after the onset of symptoms. Results of clinical and laboratory examinations did not show any features of neuropathic, inflammatory or septic arthropathy, except for coagulopathy. Magnetic resonance imaging revealed an expansive joint capsule with synovial proliferation in the affected hip joint. Total hip arthroplasty was carried out successfully with total resection of the synovial tissue and joint capsule. A histological examination revealed bone necrosis, nonspecific inflammation, haemosiderosis and synovial hypertrophy. The recurrent bleeding into the hip joint induced pronounced inflammation with synovial proliferation and acute destruction of bony tissue.