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Elbow arthropathy in hemophilia
R Malhotra1, M S Gulati, S Bhan
1Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India.
Archives of Orthopaedic and Trauma Surgery
|March 27, 2001
Summary
Hemophilic arthropathy in elbows was evaluated using clinical and radiological scores. Findings showed a strong correlation between clinical and radiological assessments in patients with severe hemophilia.
Area of Science:
- Orthopedics
- Hematology
- Radiology
Background:
- Hemophilic arthropathy is a significant complication in patients with hemophilia.
- Elbow joint involvement is common and can lead to severe disability.
Purpose of the Study:
- To evaluate the clinical and radiological status of elbows in patients with hemophilia.
- To assess the correlation between clinical and radiological findings.
- To identify new radiological signs of hemophilic elbow arthropathy.
Main Methods:
- Retrospective evaluation of 21 affected elbows in 14 hemophilic patients.
- Clinical assessment using the World Federation of Hemophilia's clinical evaluation score.
- Radiological assessment using the Pettersson score.
Main Results:
- A significant positive correlation was found between clinical and radiological scores (P < 0.0001).
- Clinical and radiological scores did not correlate with disease duration or joint bleeding score.
- Two novel radiological signs were identified: obliteration of the capitello-lateral epicondyle groove and medial trochlear surface lipping.
Conclusions:
- Clinical and radiological assessments are strongly correlated in evaluating hemophilic elbow arthropathy.
- Disease duration and bleeding score do not directly correlate with current joint damage.
- New radiological signs may aid in the diagnosis and understanding of hemophilic elbow disease.