Radial Head Excision for Patients with Hemophilic Arthropathy of the Elbow

  • Mauricio Silva
  • James V. LuckJr.


The elbow is the second most frequently affected joint in hemophilia. Chronic hemophilic synovitis of the elbow usually leads to enlargement of the radial head and severe arthropathy (Fig. 15.1). A derangement of the proximal radio-ulnar joint secondary to hypertrophy and marginal irregularities of the radial head is the major source of pain, recurrent bleeding, and restricted forearm rotation commonly seen in patients with hemophilic arthropathy of the elbow. Limitations in forearm rotation often result in significant disability. For example, loss of supination of the dominant extremity interferes with eating, handling money, and personal hygiene. Excision of the radial head has been successfully used to improve the symptoms associated with advance hemophilic arthropathy of the elbow.


Radial Head Radial Nerve Annular Ligament Forearm Rotation Ulnar Neuropathy 
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    Nagelberg S, Gilbert MS, Luck JV et al (1985) Radial head resection and partial elbow synovectomy for hemophilic arthropathy. Orthop Trans 9:420Google Scholar
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    Silva M, Luck JV (2007) Result of radial head excision and synovectomy in patients with hemophilia. J Bone Joint Surg Am 89:2156–2162PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2008

Authors and Affiliations

  • Mauricio Silva
    • 1
    • 2
  • James V. LuckJr.
    • 2
    • 3
  1. 1.Outpatient Medical Center, Hemophilia Treatment CenterOrthopedic HospitalLos Angeles
  2. 2.UCLA/Orthopedic Hospital Department of Orthopedics, David Geffen School of MedicineUniversity of CaliforniaLos AngelesUSA
  3. 3.Orthopedics-Hemophilia Treatment CenterOrthopedic HospitalLos Angeles

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