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Differential diagnosis of non-traumatic knee hemarthrosis (case report)

https://doi.org/10.14412/1996-7012-2025-1-110-115

Abstract

Hemarthrosis (HA) of the knee of non-traumatic origin is rarely encountered in the practice of a traumatologist-orthopedic surgeon. The differential diagnosis of this pathology requires a thorough medical history tacking and clinical examination of the patient, and a knee joint aspiration can only confirm the presence of blood in the joint. A diagnostic arthroscopy with a synovial biopsy helps to clarify the diagnosis. The most common causes of non-traumatic HA are tumors of vascular or synovial origin, tumor metastases and the use of high-dose anticoagulants in combination with a vascular malformation.

A clinical observation of the development of symptoms of non-traumatic HA on the background of anticoagulant use is presented, where the task of the orthopedic surgeon was to identify the true cause of the disease.

About the Author

A. A. Roskidaylo
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Anastasia Aleksandrovna Roskidaylo,

34A, Kashirskoe Shosse, Moscow 115522



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For citations:


Roskidaylo AA. Differential diagnosis of non-traumatic knee hemarthrosis (case report). Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2025;19(1):110-115. https://doi.org/10.14412/1996-7012-2025-1-110-115

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ISSN 1996-7012 (Print)
ISSN 2310-158X (Online)