関節血症
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/02/13 14:54:18」(JST)
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| Hemarthrosis |
| Classification and external resources |
Lipohemarthrosis (blood and fat in the joint space) seen in a person with a subtle tibial plateau fracture. The arrow indicates a fluid level between the upper fat component and the lower blood component.
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| ICD-10 |
M25.0 |
| ICD-9 |
719.1 |
| DiseasesDB |
29653 |
| MeSH |
D006395 |
Hemarthrosis (or haemarthrosis, plural h(a)emarthroses) is a bleeding into joint spaces.
Contents
- 1 Causes
- 2 Treatment
- 3 Complications
- 4 References
Causes[edit]
It usually follows injury but occurs mainly in patients with a predisposition to hemorrhage such as those being treated with warfarin (or other anticoagulants) and patients with hemophilia.
It can be associated with knee joint arthroplasty.[1]
Treatment[edit]
In hemophilia it may occur spontaneously, and recurrent hemarthroses are a major cause of disability in that patient group due to hemophilic arthropathy, requiring synovectomy, joint replacement[2] and increased medical therapy to prevent further bleeding episodes, although it is controversial whether clotting factor administration adequately prevents hemarthroses.[3]
Complications[edit]
Up to a quarter of all severe ligament or capsular knee injuries leading to a haemarthrosis are associated with cartilage damage that can lead to progressive degenerative arthritis.[4]
References[edit]
- ^ Ohdera T, Tokunaga M, Hiroshima S, Yoshimoto E, Matsuda S (2004). "Recurrent hemarthrosis after knee joint arthroplasty: etiology and treatment". J Arthroplasty 19 (2): 157–61. doi:10.1016/j.arth.2003.09.009. PMID 14973857.
- ^ Dunn AL (Sep 2005). "Management and prevention of recurrent hemarthrosis in patients with hemophilia". Current Opinion in Hematology 12 (5): 390–4. doi:10.1097/01.moh.0000169285.66841.c8. PMID 16093785.
- ^ Stobart K, Iorio A, Wu JK (2006). "Clotting factor concentrates given to prevent bleeding and bleeding-related complications in people with hemophilia A or B". In Stobart, Kent. Cochrane Database Syst Rev (2): CD003429. doi:10.1002/14651858.CD003429.pub3. PMID 16625581.
- ^ Goldberg A, Stansby G "Surgical Talk" 2nd edition
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Musculoskeletal disorders: Arthropathies (M00–M19, 711–719)
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Arthritis
(monoarthritis /
polyarthritis) |
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Inflammation
(Neutrophilia)
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Infectious
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- Septic arthritis
- Tuberculosis arthritis
- Reactive arthritis (indirectly)
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Noninfectious
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- Seronegative spondyloarthropathy: Reactive arthritis
- Psoriatic arthritis
- Rheumatoid arthritis: Juvenile idiopathic arthritis
- Adult-onset Still's disease
- Felty's syndrome
- Crystal arthropathy: Gout
- Chondrocalcinosis
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Noninflammatory
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- Osteoarthritis: Heberden's node
- Bouchard's nodes
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| Other |
- hemorrhage
- pain
- Osteophyte
- villonodular synovitis
- Pigmented villonodular synovitis
- Joint stiffness
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noco (arth/defr/back/soft)/cong, sysi/epon, injr
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Pathology: hemodynamics
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| Decreases |
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Thrombus/thrombosis
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Renal vein thrombosis
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Ischemia
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- Brain ischemia
- Ischaemic heart disease
- large intestine: Ischemic colitis
- small intestine: Mesenteric ischemia
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Infarction
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general:
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- Anemic infarct
- Hemorrhagic infarct
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regional:
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- Myocardial infarction
- Cerebral infarction
- Splenic infarction
- Limb infarction
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| Increases |
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Hemorrhage
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general
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- Bruise/Hematoma
- Petechia
- Purpura
- Ecchymosis
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regional
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- head
- Epistaxis
- Hemoptysis
- Intracranial hemorrhage
- Hyphema
- Subconjunctival hemorrhage
- torso
- Hemothorax
- Hemopericardium
- Pulmonary hematoma
- abdomen
- Gastrointestinal bleeding
- Haemobilia
- Hemoperitoneum
- Hematocele
- Hematosalpinx
- joint
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Edema
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general
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- Anasarca
- Angioedema/Lymphedema
- Exudate/Transudate
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regional
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- Cerebral edema
- Pulmonary edema
- Hydrothorax
- Ascites/hydroperitoneum
- Hydrosalpinx
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Other
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UpToDate Contents
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English Journal
- Should ice be used in the treatment of acute haemarthrosis in haemophilia?
- Rajamanickam M, Michael R, Sampath V, John JA, Viswabandya A, Srivastava A.SourceDepartment of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, India.
- Haemophilia : the official journal of the World Federation of Hemophilia.Haemophilia.2013 Jul;19(4):e267-8. doi: 10.1111/hae.12163. Epub 2013 Apr 16.
- PMID 23586974
- The effects of repetitive haemarthrosis on postural balance in children with haemophilia.
- Souza FM, McLaughlin P, Pereira RP, Minuque NP, Mello MH, Siqueira C, Villaça P, Tanaka C.SourcePhysical Therapy, Communication Disorders and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
- Haemophilia : the official journal of the World Federation of Hemophilia.Haemophilia.2013 Jul;19(4):e212-7. doi: 10.1111/hae.12106. Epub 2013 Mar 28.
- Sensory information from visual, vestibular and proprioceptive systems is necessary to control posture and balance. Impairment in proprioception due to repetitive joints bleeding may lead to a deficit in postural balance which, in turn, leads to high joint stress and risk of bleeding recurrence. Des
- PMID 23534559
Japanese Journal
- 人工膝関節置換術後に反復する関節内血腫を来した1例
- 大塚 洋,宮岡 健,岡崎 賢,田代 泰隆,松田 秀一,岩本 幸英
- 整形外科と災害外科 61(4), 843-845, 2012-09-25
- NAID 10031013984
- 外側半月後方に出血源と思われる動脈の断端を同定しえた特発性膝関節血症の1例
- 超高齢者の特発性膝関節血症に対して人工膝関節全置換術が奏功した1例
Related Links
- Hemarthrosis (or haemarthrosis, plural h(a)emarthroses) is a bleeding into joint spaces. Contents. 1 Causes; 2 Treatment; 3 Complications; 4 References. Causes [edit]. It usually follows injury but occurs mainly in patients with a predisposition ...
- 27 Jul 2012 ... Bleeding into a joint is referred to as hemarthrosis and is an important cause of monoarticular joint pain and swelling. Hemarthrosis may be suspected on the basis of a suggestive history, physical examination, or imaging ...
Related Pictures
★リンクテーブル★
[★]
- 英
- hemarthrosis
- 同
- 関節血腫症、関節出血、出血性関節症
- 関
- 関節内出血
関節血症の原因
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[★]
- 関
- hemarthrosis