The main symptoms of hemophilia are excessive bleeding and easy bruising. Blood tests can tell if you have it. The main treatment is injecting the missing clotting factor into the bloodstream. [icdlist.com]

DIAGNOSIS  Suspected in patients presenting with history of Easy bruising in early child hood Spontaneous bleeds Excessive bleeding following trauma or surgery 5. [slideshare.net]

BACKGROUND: Ankle arthrodesis is an accepted treatment for patients with advanced disabling tibiotalar arthritis, mostly in osteoarthritis, rheumatoid, and posttraumatic arthritis. [ncbi.nlm.nih.gov]

Septic Arthritis Until the early 1980s, septic arthritis rarely occurred in hemophilic patients. [musculoskeletalkey.com]

deformity, decreased range of motion, and unequal extremity lengths. [appliedradiology.com]

The late sequelae of joint hemorrhage appear in adolescence or adulthood as a joint deformity, contracture, and/or degenerative arthritis. [emedicine.medscape.com]

The objective is to correct joint deformity and to restore function. [boneandspine.com]

In many cases, joint deformities have to be treated by open orthopedic surgery. State-of-the-art treatment of patients with hemophilia requires a multidisciplinary team. [jahjournal.org]

EARLY INTERVENTION - SPLINTING, ORTHOTICS, AND ASSISTIVE DEVICES Splints • To immobilize a bleeding or painful joint • To prevent deformity in chronic bleeding joints and/or to prevent postsurgical deformity • To correct joint deformity if a contracture [slideshare.net]

In the present review, we summarize major literature evidence on the use of joint US for the evaluation of markers of disease activity (joint effusion and synovial hypertrophy) and of degenerative damages (osteochondral changes) in patients with hemophilia [ncbi.nlm.nih.gov]

Radiographic findings at this stage are generally limited to a dense joint effusion (hemarthrosis). Following an acute episode of hemarthrosis,the synovium must absorb the blood degradation products. [appliedradiology.com]

Large joints are most commonly involved in the following order of frequency 2 : knee elbow ankle hip shoulder Plain radiograph joint effusion is seen in the setting of hemarthrosis periarticular osteoporosis: from hyperaemia epiphyseal enlargement with [radiopaedia.org]

This image shows an opaque joint effusion due to the presence of iron in the synovium (arrows). [emedicine.medscape.com]

Joint effusions (haemarthrosis) 2. Articular erosions 3. Periarticular osteopenia 4. Multiple subchondral cysts 5. Enlarged epiphysis 6. Narrowing of joint space 7. Gross incongruence of articulating bone ends 8. [orthopaedicprinciples.com]

Around 50% of hemophilic patients suffer from ankle pain and radiological signs of HA. OBJECTIVE: To review current treatment of HA of the ankle in PWH. [ncbi.nlm.nih.gov]

Around 50% of hemophilic patients suffer from ankle pain and radiological signs of HA. Objective: To review current treatment of HA of the ankle in PWH. [eurekaselect.com]

CASE NUMBER 118 Note This is a patient who presents with chronic ankle pain. Frontal and lateral radiographs of the ankle were obtained. The red arrows on the frontal radiograph demonstrate severe narrowing of the tibiotalar joint space. [ctisus.com]

This may exceed that of rheumatoid arthritis. [36] Characteristics/Clinical Presentation The characteristics and clinical presentation of ankle arthropathies such as different forms of arthritis can be described as followed: Ankle pain Stiffness Swelling [physio-pedia.com]

Response to RSO was evaluated 6 months post-treatment by measuring changes in intensity of arthralgia according to the visual analog scale (VAS), bleeding frequency, and range of motion. [ncbi.nlm.nih.gov]

If the patient later suffers from chronic arthralgias, corticosteroids should be avoided [24]. Steroids are administered when inflammatory symptoms are resistant to NSAIDs [75]. [physio-pedia.com]

CONCLUSION: The ideal treatment for the hemophilic ankle when hematologic prophylaxis fails includes physical medicine and rehabilitation, orthoses, radiosynovectomy, arthroscopic ankle debridement (in the initial stages of cartilage degeneration), and ankle distraction [ncbi.nlm.nih.gov]

Conclusion: The ideal treatment for the hemophilic ankle when hematologic prophylaxis fails includes physical medicine and rehabilitation, orthoses, radiosynovectomy, arthroscopic ankle debridement (in the initial stages of cartilage degeneration), and ankle distraction [eurekaselect.com]

INTERVENTIONS: The hemophilic group followed a surface electrical stimulation program (frequency 45 Hz, impulse 200 micros, 10s on/10s off) over an 8-week period on the biceps brachii of both arms. The control group did no training of any kind. [ncbi.nlm.nih.gov]

He goes in wheelchair unable to walk since the previous five months. Radiographs confirm a grade III hemophilic arthropathy in the right knee and grade II for the left elbow. [medcraveonline.com]

HA resembles much more to the rheumatoid arthritis because a presence of thick synovial membrane and large lymphocytes infiltration. However, in its final stages, HA resembles OA and that is when IA injections of MSCs are commonly used. [ncbi.nlm.nih.gov]