By Jenő Forrai M.D. (auth.)
The use of powerful coagulation issue concentrates has dramatically replaced the medical photo and the lifestyles expectancy of haemophiliacs. the purpose of well-organized care of haemophiliacs is to avoid not just life-threatening bleeding episodes, but additionally the advance of disabling arthropathies. even with various potent medications and the worthy influence of early synovectomy, haemophilic arthropathy will lengthy stay a crux of daily perform. in line with 10 years' adventure on the nationwide Institute of Haematology and Blood Transfusion, this quantity provides a close description of the X-ray morphology of haemophilic arthropathy. the wealthy sequence of illustrations should still serve for counsel in diagnostics and differential diagnostics, and may supply assist in constructing the degree and in estimating the diagnosis. it is going to be of curiosity to all physicians engaged within the care of haemophiliacs. Susan R. Hollan, M. D. Corresponding Member of the Hungarian Academy of Sciences, Professor of Haematology. Director of the nationwide Institute of Haematology and Blood Transfusion nine Acknowledgements I gratefully recognize assistance from all those that have contributed to this mono graph. First I desire to recognize the aid of Professor Susan Hollan, Corre sponding Member of the Hungarian Academy of Sciences, Director of the nationwide Institute of Haematology and Blood Transfusion, Professor of Haematology on the Postgraduate clinical institution, Editor-in-chief of Haemat%gia, an internation al quarterly, who supplied us with the main smooth apparatus and has been attracted to, and inspired, our paintings throughout.
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Additional resources for Radiology of Haemophilic Arthropathies
166. Ganguli, P. K. Cit. by Bohrer . 4 Forrai 49 167. , Schlesinger, E. : Certain effects of hemophilia on the growing skeleton. J. Pediat. 16, 549 (1940). 168. Schinz, H. , Baensch, W. : Lehrbuch der Rontgendiagnostik. Thieme, Stuttgart 1952. 169. , Zimmer, E. ,: Grenzen des Normalen und An/ange des Pathologischen im Rontgenbild des Skelets. Thieme, Stuttgart 1967. 170. Matzen, P. , Fleissner, H. : Orthopaedic Roentgen Atlas. Thieme, Stuttgart 1970. 171. Sinding-Larsen, M. : Acta Radiol. 1, 171 (1921/22).
On the left side advanced fusion of the epiphyses due to recurrent haemarthroses. The anterior contours of the femoral condyles are flattened . The diaphysis of the tibia is hypoplastic as compared with its normally developed epiphyses. Squared off patella has only developed in the arthropathic joint, supporting the view that this alteration is not congenital, but the result of a local process 59 Knee - Panarthritis 7/c Fig. 7 (c, d) Left knee. A-P view. Frontal tomogram . Note the depression, approximately fingertip deep, on the lateral part of the tibial articular surface.
N. Y. Acad. Sci. 240, 342 (1975). 43. Rothermel, J. , Raney, Sr. : The change in prognosis in haemophilic arthropathy. Sth. Med. J. ) 62, 1430 (1969). 44. Miller, E. , Flessa, H. , Glueck, H. : The management of deep soft tissue bleeding and hemarthrosis in hemophilia. C/in. Orthop. 82, 92 (1972). 45. France, W. : Treatment and prevention of chronic haemorrhagic arthropathy and contractures in haemophilia. J. Bone Jt Surg. 47B, 247 (1965). 46. Jordan, H. : Hemophilic Arthropathies. Thomas, Springfield 1958.
Radiology of Haemophilic Arthropathies by Jenő Forrai M.D. (auth.)