Radial Head Excision for Patients with Hemophilic Arthropathy of the Elbow
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.
KeywordsRadial Head Radial Nerve Annular Ligament Forearm Rotation Ulnar Neuropathy
Unable to display preview. Download preview PDF.
- 2.Lofqvist T, Nilsson IM, Petersson C (1996) Orthopaedic surgery in hemophilia. 20 Years’ experience in Sweden. Clin Orthop 232–241Google Scholar
- 3.Nagelberg S, Gilbert MS, Luck JV et al (1985) Radial head resection and partial elbow synovectomy for hemophilic arthropathy. Orthop Trans 9:420Google Scholar