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Hemophiliac Arthritis
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Chronic synovitis develops from repeated intra-articular hemorrhages
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Thickened synovium produces marginal erosions
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Multiple subchondral cysts may develop secondary to intraosseous
hemorrhage
- Conventional Imaging
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X-ray changes due to synovial
proliferation and hyperemia
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Widening of the intercondylar notch of the
femur
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Chronic hyperemia produces enlargement of epiphyses
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Secondary trabeculae are resorbed leaving linear striations in the bone
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Sometimes hemosiderin in soft tissues may make them appear dens
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From the increased blood to the epiphyses,
the epiphyses may appear too early, grow too large, and fuse early
![hemophiliac arthritis](../../caseofweek/caseoftheweekpix/cow55.jpg)
Hemophiliac Arthritis. There is widening of the intercondylar notch,
accentuation of the
trabeculae and enlargement of the medial epicondyle
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