Haemarthrosis

COMMONLY
AFFECTED
JOINTS

Knees, elbows, ankles, (shoulder, hip, and other joint bleeds are rare)

After one or several haemarthrosis with synovitis a joint may be 'targeted' for recurrent bleeding damage.

SYMPTOMS
AND SIGNS

Tingling sensation
(early)

Stiffness

Pain

Limited range of motion

Swelling

Limp or refusal to use limb

DO NOT DELAY TREATMENT.

Early bleeding can be felt by the patient before signs are apparent.

Obvious joint swelling is a late sign of bleeding

TREATMENT GUIDELINES

Replace missing factor

-- see:

Factor VIII Treatment
(Click to access)

Factor IX Treatment
(Click to access)

Ice packs may reduce bleeding

Rest affected joint/limb

w Posterior splint
w Sling for arm
w No weight bearing

TREAT EARLY

Repeat infusions
in12 to 24 hours

No circumferential casting

X-ray not indicated
-- only if fracture is suspected