Hemartrosis (Pendarahan sendi) in Englis

Tentang pendarahan sendi (definisi, penyebab, dll)

1. REFARAT
HEMARTHROSIS
Oleh
Anshari Samad
10542036712
Pembimbing: dr. Hj. Ramlah Massing, Sp.Rad

2. introduction
Hemarthrosisis a complex disease in which bleeding
occurs into the joint cavity. Usually, it is caused by
trauma to the joint, resulting in the rupture of blood
vessels that supply blood. The most common
hemarthrosisis from the knee joint, in lesser cases the
clinical development of hemarthrosisis also on the
elbows, hips and shoulders.

3. Anatomi Sendi
Genu joint/knee joint
Elbow Joint
Wrist Joint
Angkle Joint
Hip Joint

9. Defenisi
Hemarthrosisbleeding at the joint often seen
in acute injuries in which a tear in the vascular
structure occurs.

10. Etiologi
Trauma
Non Trauma

11. Clasification
Acute Hemartrosis
Acutehaemartrosisoccursrapidlyafter
prodromalsymptomsofpainandstiffness.
Thejointsbecometense,swollen,hard,
hotandpainful,whiletheskinontopis
shinyandred.Theaffectedjointisalways
inapositionofflexionandlimited
movementduetohemarthrosisandpain.
Thepainquicklydisappears

12. Subacutehemarthrosis
Subacutehemarthrosisoccursafter
twoormoreacutehemarthrosis,
despiteadequatetherapy.Sinovium
thickensandthereisamoderate
restrictioninjointmovement.Painis
notamajorsymptomofthissubacute
stage

13. Chronic hemartrosis
Chronic hemarthrosisoccurs after subacute
hemarthrosislasts for 6 months or more.
Progressive changes occur until the late stages of
arthropathyare a state of fibrosis, contractures,
due to extensive joint damage. Stage 1
Stage 2
Stage 3
Stage 4
Stage 5

14. Clinical Symptoms
Pain
Swollen
Limited movement of joints
Stiffpain is exacerbated by movement
Looks of bruises on the affected joint area

15. Radiologi Image
X-RayAda fraktur kominatif yang melibatkan patella dengan pemisahan fragmen fraktur.
Ada hemarthrosis suprapatellar kecil

16. Pada X-ray Ankle Join lateral pergelangan kaki ini menunjukkan
lusen lemak normal di anterior sendi tibiotalar yang digantikan oleh
kerapatan jaringan lunak ovoid (panah putih) yang mewakili cairan di
bagian inferior dari reses anterior. Tanda panah kuning menunjukkan
kepadatan jaringan lunak lobular yang meluas ke posterior dari sendi
pergelangan kaki dan anterior lain (panah putih). Dan nampak
hemarthrosis.

17. CT ScanCT scan menunjukkan hemarthrosis sendi lutut, potongan aksial.
Pemindaian menunjukkan efusi darah (merah) di bawah patella.

18. MRIHematoma sumsum fokal dan perdarahan intraartikular. Suprapatellar reses
tersegmentasi oleh plak suprapatellar non-perforasi (septum completum

19. Management therapy
Management in hemarthrosis usually depends
on clinical manifestations / primary factors
If there is a large hemarthrosis sterile
aspiration, before 24 hours
As an initial treatment can be done ice packs
on the affected joints for 15 minutes every 1-2
hours during the first 48 hours

20. Differential Diagnosis
Hemofilia
Hemophilia is the first known and widely known
congenital blood disorder disease since 1911. At that
time hemophilia was known as a result of a congenital
blood clotting disorder inherited by a healthy woman.

21. ACL
An ACL injury (anterior cruciate ligament) or ACL rupture
is a tear in one of the knees that connects the upper leg
bone with the lower leg bone where the ACL maintains
knee stabilityFraktur daerah Intercondylar. Berupa fraktur avulsion (panah merah dan putih)
pada interkondylar. Ada juga hemarthrosis suprapatellar besar (panah kuning).
Fraktur semacam itu terkait dengan cedera pada ligamen anterior cruciatum

22. Artritis Septik
septic arthritis is an infection of the joint cavity and is usually a
bacterial infection. Septic arthririsis the most dangerous form of
acute arthritis, and is an emergency orthopedic case.Foto pelvis AP Tampak proses destruksi pada permukaan sendi hip kiri. (kanan) :
MRI potongan sagital pasien septic arthritis pada sendi lutut kiri, tampak efusi
sendi, synovial thickening dan subcutaneous edem

23. Miositis Ossificans
also known as heterophysicalhardening or ectopic hardening are
pathologic bone formation that occurs in soft tissues that usually do
not have hardeningArea opasitas radio padat muncul seperti 'selubung' yang tercatat di sisi kanan
bersebelahan dengan femur.

Tampak lebih padat daripada tulang dengan margin tidak beraturan dan terlihat
terbentuk sepanjang sumbu panjang (sejajar) dengan tulang

24. Hemangioma
Hemangioma is an abnormal proliferation of blood vessels that can occur in
any jaingan containing blood vessels. Thus, hemangiomas can occur in the
cuticle, subcutis, muscle, liver, gastrointestinal tract, brain, lung, or bonePenebalan kortek tulang akibat hemangioma intramuscular pada betis
38

Gambran yang ditunjukan dapat berupa bayangan masa yang isodens dengan otot,
bila didekat tulang dapat memberikan gambranperiosteal reaction

25. Hematoma
Hematoma is a collection (blood collection)
outside the blood vessels. Hematomas occur
because the walls of blood vessels, arteries,
veins or capillaries, have been damaged and
blood has leaked into the tissues where it is out
of place.
MRI namapak
perdarahan pada otot
akibat Cedera otot
betis bertahan 2
minggu
lalu.intramuscularhem
atoma(hyperintens)

26. Tinjauan keislaman
Tiap-tiap yang berjiwa akan merasakan mati.
Kami akan mengujimu dengankeburukan
dan kebaikansebagai cobaan(yang
sebenar-benarnya). Dan hanya kepada Kami-
lah kamu dikembalikan.”(QS. al-Anbiyaa’: 35).

27. THANKS