Orthopedics > OCOSH Classification > Joint Diseases > Haemarthrosis > Differential Diagnosis of Knee Hemarthrosis Wheeless

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Differential Diagnosis of Knee Hemarthrosis Wheeless

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Description: - non-bloody effusion suggests an irrative synovitis that may be caused by degenerative meniscus or a chronic process with no super imposed acute injury;
- absence of hemarthrosis is not indication of less severe ligament injury, since severe disruptions often cause only minimal joint distention;
- disruption may be so complete that blood escapes into soft tissues and the popliteal space rather than distending the joint;
- tense hemarthosis of effusion may prevent full extension of the knee joint and should be evacuated;
- aspirate should always be examined for fat globules which may indicated osteochondral fracture or tibial plateau fracture;
Wheeless' Textbook of Orthopaedics

Type: Reference Material
Author/Contact: C.R.Wheeless
Institution: Duke
Primary Subject/Category:

Language: English

Submitted by: admin
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Added: Mon Feb 04 2002
Last Modified: Fri Apr 11 2008