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July 1987, Vol 141, No. 7 >
Article | July 1987

Radiological Case of the Month FREE

Michael Heim, MB, ChB; Uri Martinowitz, MD; Henri Horoszowski, MD; Lionel W. Young, MD
[+] Author Affiliations

Reprint requests to Department of Radiology, Children's Hospital Medical Center of Akron, 281 Locust St, Akron, OH 44308 (Dr L. W. Young).


Am J Dis Child. 1987;141(7):801-802. doi:10.1001/archpedi.1987.04460070103035.
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A 4-year-old male hemophiliac was transferred to the Israel National Hemophilia Center, Tel Hashomer, from a peripheral hospital. He had a severe, classic case of hemophilia and had been hospitalized frequently because of a swollen right knee. The patient had received infusions of bloodclotting factor VIII concentrate calculated on the basis of 15 U/kg. His right knee was contracted and constantly swollen (Figs 1 and 2) for six months prior to his referral. Knee roentgenograms were obtained (Figs 3 and 4).

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Denouement and Discussion 

Severe Chronic Hemophilic Synovitis Resulting in Epiphyseal Overgrowth  Fig 1.—Flexion contracture of right knee.Fig 2.—Right knee markedly swollen in comparison with left knee.Fig 3.—Lateral roentgenographic view of right knee showing greatly distended joint.Fig 4.—Posteroanterior roentgenographic view of both knees. Note increased size of right femoral epiphysis.The majority of bleeding episodes in hemophilia occur within

REFERENCES

1 +
Blount WP:  Unequal leg length . Instr Course Led 1960;;17:218-245.
2 +
Storti E, Ascari E:  Surgical and chemical synovectomy . Ann NY Acad Sci 1975;;240:316-327.
3 +
Gorce J, Bosser C, Saint Paul E: Synovior-thesis of the knee with osmic acid in hemophilic children and adolescents. Read before the 13th Congress of the World Federation of Hemophilia, Tel-Aviv, Israel, 1979.
4 +
Fernandez-Palazzi F, Bosch N, Vargas AF:  Chromosomal study after radioactive synovior-thesis for hemophilic haemarthrosis . Int Orthop 1979;;3:159-164.
5 +
Smith MA, Urquhart DR, Savidge GF:  The surgical management of varus deformity in haemophilic arthropathy of the knee . J Bone Joint Surg Br 1981;;63:261-265.
6 +
Sharrard W:  Abnormalities of the epiphyses , in Sharrard W (ed): Paediatric Orthopaedics and Fractures , ed 2. London, Blackwell Scientific Publication Ltd, 1979;, p 806.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Blount WP:  Unequal leg length . Instr Course Led 1960;;17:218-245.
2 +
Storti E, Ascari E:  Surgical and chemical synovectomy . Ann NY Acad Sci 1975;;240:316-327.
3 +
Gorce J, Bosser C, Saint Paul E: Synovior-thesis of the knee with osmic acid in hemophilic children and adolescents. Read before the 13th Congress of the World Federation of Hemophilia, Tel-Aviv, Israel, 1979.
4 +
Fernandez-Palazzi F, Bosch N, Vargas AF:  Chromosomal study after radioactive synovior-thesis for hemophilic haemarthrosis . Int Orthop 1979;;3:159-164.
5 +
Smith MA, Urquhart DR, Savidge GF:  The surgical management of varus deformity in haemophilic arthropathy of the knee . J Bone Joint Surg Br 1981;;63:261-265.
6 +
Sharrard W:  Abnormalities of the epiphyses , in Sharrard W (ed): Paediatric Orthopaedics and Fractures , ed 2. London, Blackwell Scientific Publication Ltd, 1979;, p 806.

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