Hemarthrosis of the knee: description, causes, treatment
Hemarthrosis is manifested by hemorrhages in the internal cavity of the joint, may be the result of traumatic impact or consequence of the disease with impaired blood clotting. Often occurs injury of the knee joint, the fluid pressure inside it increases because the incident hemorrhage. The complexity of the structure of the knee joint prevents rapid resorption of blood pooling. In such cases, medical intervention is required and conducting special treatment.
Causes and symptoms of the disease
Description of hemarthrosis is included in the Handbook on the international classification of diseases, which contains diagnostic information. In ICD 10 disease code is M25.0. Codes are used for ease of handling and storage information. Clinical and diagnostic terms used in the Russian version of the Handbook, ICD-10, comply with domestic practice.
Hemarthrosis of the knee or other joint can be triggered by different types of injuries.
Faster symptoms appears in children, so after injury or trauma, the child should immediately be seen by a specialist.
Hemarthrosis resulting from trauma, characterized by the presence of a certain clinical picture.
Preventive measures are the exclusion of traumatic situations, the use of braces, early treatment of associated chronic diseases.
Diagnosis and treatment of
Diagnosis of the disease is done by a specialist, who assigns the following examination types.
Threat is a chronic form of the disease that occur in case of wrong or delayed treatment. Hemarthrosis treated by removal of fluid from the joint cavity. Then the cavity was washed and injected her drugs to eliminate bleeding, pain and inflammation. Primary hemarthrosis quite easily treatable. With the accumulation in the joint of blood in volume more than 30 ml of liquid aspiration and introduction of drugs with a syringe is performed simultaneously with puncturing.
The treatment is carried out under local anesthesia, the procedure involves this procedure.
Hemarthrosis of the knee joint as a result of the puncture healed within 3 weeks. If repeated hemorrhages into the joints there is degenerative change, so the secondary hemarthrosis treatment lends itself much more difficult.
If the disease recurs, the operation is performed in another way.
When using this method reduces the risk of recurrence of bleeding, so remove the hemarthrosis is possible in one procedure.
With a slight bleeding of the fluid in the joint dissipates without a puncture. In this case, it is possible to treat minor damage folk remedies. You can take anti-inflammatory extracts (yarrow, nettle), use biodegradable wraps (clay, herbs of Arnica and wormwood) and pain ointment based on honey.
After injury, the limbs provide rest, holding it in the raised position. In the joint area 2 of the day is applied cold, thus limiting the load on the injured leg.
The danger of the disease at presence of hemophilia
Hemarthrosis of the knee joint, which serves as hemophilia, may be a long time to manifest. Under the action of blood clots cartilage is destroyed, it is fibrous changes leading to the emergence of inflammatory processes. Gradually hemarthrosis disrupts the ligaments, which causes rapid decline of the functionality of the joint. In hemophilia joint problems can occur even with a minor injury.
In patients with hemophilia a hemarthrosis may develop suddenly. To reduce blood loss the treatment of such patients should begin immediately.
Hemophilic hemarthrosis treated only in a hospital. The risk of circulatory disorders injuries is the risk of changes in cartilage. Can quickly progress to osteoarthritis, the causes of which are linked to tissue scarring (adhesions) on the surface of the joint.
In the absence of qualified treatment hemarthrosis of the knee joint may become chronic. If the constant presence of blood in the joint cavity inflammation develops, the probability of complications such as infectious arthritis, bursitis, purulent synovitis. In severe and chronic cases may require hip replacement, is a surgery. In the rehabilitation period, the patient also must be under medical supervision.
Attentive to their health and compliance with all medical recommendations to avoid complications and quickly restore the full functioning of the joint.