EURORAD ESR

Case 10946

A patient with haemophilic haemarthrosis and arthropathy

Author(s)
Duarte Rufino Nascimento, Rosário Matos, Alexandra Ferreira, Ana P. Petinga, Ana Nunes, Jorge Furtado, Conceição Barrueto, Pedro Paulo Mendes, Eugénia Soares

Centro Hospitalar de Lisboa Central,
Hospital Dona Estefânia,
Serviço de Radiologia
 
Patient
male, 13 year(s)
 
 
  • Figure 1
    Knees - Frontal X-ray

    -irregularity of the articular surfaces -subchondral sclerosis. -Widening and erosion of intercondylar notch, enlargement of distal femoral epiphysis; flattening of distal femoral condyles. -"Haemophiliac...

     
    Area of Interest: Bones; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Haematologic diseases;
     
     
  • Figure 2
    Knees - Lateral X-ray

    -irregularity of the articular surfaces and subchondral sclerosis. -“haemophiliac pseudotumour”: haemorrhage had such an extent that a huge soft tissue mass resulted.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Haematologic diseases;
     
     
  • Figure 3
    Right anterior knee - Longitudinal US

    Mixed echogenicity content in the subquadricipital recess of the right knee.

     
    Area of Interest: Bones; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Haematologic diseases;
     
     
  • Figure 4
    Right anterior knee - Longitudinal Doppler-US

    There was also prominent Doppler signal in the subquadricipital recess. These findings were related to haematoma and inflammatory activity.

     
    Area of Interest: Bones; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Haematologic diseases;
     
     
  • Figure 5
    Righ knee - Sagittal T1 weighted image

    -heterogeneous signal intra-articular content (hypointense areas due to ferritine deposition and hyperintensities due to "fresh" haematic content -multiple bone erosions -osteochondral lesion in the medial condile.

     
    Area of Interest: Bones; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haematologic diseases;
     
     
  • Figure 6
    Righ knee - Coronal Proton Density image

    -enlargement of distal femoral epiphysis -flattening of distal femoral condyles -multiple bone erosions -widening and erosion of intercondylar notch

     
    Area of Interest: Bones; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haematologic diseases;
     
     
-irregularity of the articular surfaces -subchondral sclerosis. -Widening and erosion of intercondylar notch, enlargement of distal femoral epiphysis; flattening of distal femoral condyles. -"Haemophiliac pseudotumour”: huge soft tissue mass resultant from haemorrhage.
 
-irregularity of the articular surfaces and subchondral sclerosis. -“haemophiliac pseudotumour”: haemorrhage had such an extent that a huge soft tissue mass resulted.
 
Mixed echogenicity content in the subquadricipital recess of the right knee.
 
There was also prominent Doppler signal in the subquadricipital recess. These findings were related to haematoma and inflammatory activity.
 
-heterogeneous signal intra-articular content (hypointense areas due to ferritine deposition and hyperintensities due to "fresh" haematic content -multiple bone erosions -osteochondral lesion in the medial condile.
 
-enlargement of distal femoral epiphysis -flattening of distal femoral condyles -multiple bone erosions -widening and erosion of intercondylar notch
 
 
 
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