A Review of Current Management of Knee Hemarthrosis in the Non-Hemophilic Population.


Journal

Cartilage
ISSN: 1947-6043
Titre abrégé: Cartilage
Pays: United States
ID NLM: 101518378

Informations de publication

Date de publication:
12 2021
Historique:
pubmed: 24 7 2020
medline: 30 3 2022
entrez: 24 7 2020
Statut: ppublish

Résumé

The knee joint is one of the most frequently injured joints in the body, and the resulting injury may often lead to the presence of a bloody effusion, or hemarthrosis. The acute management of this condition can have long-lasting implications, and may ultimately result in the early onset of osteoarthritis in this population. Heme, a breakdown product of erythrocytes, and associated pro-inflammatory mediators, are known to have deleterious interactions with cartilage and synovium. The presence of blood in a joint following injury can precipitate these effects and accelerate the degenerative changes in the joint. Currently, there is no consensus on the optimal management of a traumatic knee joint injury with a hemarthrosis. Nontraumatic hemarthosis, seen most commonly in hemophilia patients, has a set of established guidelines that does not routinely recommend drainage of the joint. This article presents a rationale for joint aspiration to minimize the harmful effects of blood following traumatic hemarthrosis.

Identifiants

pubmed: 32698601
doi: 10.1177/1947603520942937
pmc: PMC8808899
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

116S-121S

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Auteurs

Nikhil Potpally (N)

Rutgers New Jersey Medical School, Newark, NJ, USA.

Scott Rodeo (S)

Hospital for Special Surgery, New York, NY, USA.

Paul So (P)

Rutgers New Jersey Medical School, Newark, NJ, USA.

Ken Mautner (K)

Emory University, Atlanta, GA, USA.

Michael Baria (M)

The Ohio State University, Columbus, OH, USA.

Gerard A Malanga (GA)

Rutgers New Jersey Medical School, Newark, NJ, USA.

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