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- Title
The management of a person with haemophilia who has a fixed flexed hip and intractable pain.
- Authors
Heim; Varon; Strauss; Martinowitz; Heim, Michael
- Abstract
The clinical picture of a fixed flexed hip associated with pain in a person with haemophilia is suggestive of a haemorrhage in that area. Sonography facilitates differentiation between a haemarthrosis, intraperitoneal haemorrhage, subperiosteal bleed, a bleed into the soft tissue around the hip joint or a psoas haematoma. All these aforementioned causes may result in the same clinical presentation. Two cases are described in which coxhaemarthrosis resulted in a flexion contracture of the joint associated with severe intractable pain. Narcotic drugs failed to alleviate the severe pain. Joint aspiration produced dramatic pain relief and early joint rehabilitation.
- Subjects
HEMOPHILIACS; INTRACTABLE pain; HIP joint diseases; DISEASES
- Publication
Haemophilia, 1998, Vol 4, Issue 6, p842
- ISSN
1351-8216
- Publication type
Article
- DOI
10.1046/j.1365-2516.1998.00203.x