Intra-articular Corticosteroid Therapy

  • Mahesh P. Shrivastava
  • Abhisek Bhattarai


The hemophilias are inherited, lifelong, sex-linked bleeding disorders occurring predominantly in males [1]. People with hemophilia do not bleed faster than normal, but they can bleed for a longer time. Their blood does not have enough clotting factor, which is protein in blood that controls bleeding [2]. The incidence of hemophilia is rare. About 1 in 10,000 people are born with it. The most common type of hemophilia is factor VIII deficiency, also called hemophilia A or classic hemophilia. The second most common type is factor IX deficiency, also called hemophilia B or Christmas disease (named for Stephen Christmas, the first person diagnosed with factor IX deficiency). Hemophilia A is approximately five times more common than hemophilia B. Both types of hemophilia share the same symptoms and inheritance pattern — only blood tests can differentiate between the two [3]. It is very important to know which factor is defective so that the correct treatment can be given.


Radial Head Lidocaine Hydrochloride Chronic Synovitis Factor Viii Deficiency Hemophilic Arthropathy 
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    World Federation of Hemophilia (1996) Facts for Health Care Professional. Haemophilia, p 2Google Scholar
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    World Federation of Hemophilia (2004) What is Hemophilia, p 1Google Scholar
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    National Hemophilia Foundation (1998) Caring for your Child with Hemophilia, p 2Google Scholar
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    Gupta AD (2001) Treatment Protocol in Haemophilic Arthropathy-Comprehensive Haemophilia Care in Developing Countries, p 133Google Scholar
  5. 5.
    Fernandez-Palazzi F (1998) Treatment of acute and chronic synovitis by non-surgical means. Haemophilia 4:519CrossRefGoogle Scholar
  6. 6.
    Rodriguez-Merchan EC, Goddard NJ (2001) The Technique of Synoviorthesis Haemophilia, 7(2):11–15CrossRefGoogle Scholar

Copyright information

© Springer 2008

Authors and Affiliations

  • Mahesh P. Shrivastava
    • 1
  • Abhisek Bhattarai
    • 1
  1. 1.Department of Orthopedic SurgeryNepal Medical College Teaching HospitalKathmanduNepal

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