Bleeding Arthropathy Research Articles

Tuberculous synovitis with widening of the intercondylar notch of the distal femur.

Irregular widening of the intercondylar notch of the distal femur is considered characteristic and, by some, an almost specific feature (Johnson, Davis and Bullock, 1954; Moseley, 1963) of haemophiliac (and similar bleeding disorders) arthropathy. The synovial proliferation in juvenile and adult rheumatoid arthritis is known to produce marginal bone erosions similar to haemophilia. Moseley (1963) and Johnson et al. (1954) feel that widening of the intercondylar notch is not seen in rheumatoid arthritis, but Boldero and Kemp (1966) state that this can occur. Other possible aetiologies of this radiographic finding are not discussed by most authors or texts.

Haemophiliac arthropathy of the hip.

1. Seven cases of haemophiliac arthropathy of the hip joint are reported. 2. Attention is drawn to the different appearances in the hip when it is affected before and after puberty. Before puberty there are features similar to pseudocoxalgia. After puberty there may be cyst formation, coxa valga, or features similar to osteoarthritis. 3. It is suggested that intra-osseous haemorrhage is important in the production of these changes and that intra-epiphysial haemorrhage is responsible for the appearances seen before puberty.