CASE REPORT AND LITERATURE REVIEW

 

Intraneural bleeding of the ulnar nerve in a haemophilic patient: Case report and guide to orthopaedic management

 

 

O Koch^I; A Visser^II

^IMBChB(Pret); Registrar, Department of Orthopaedic Surgery, University of Pretoria
^IIMBChB(Pret); Registrar, Department Clinical Pathology, University of Pretoria, National Health Laboratory Services

Correspondence

 

 

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ABSTRACT

More than 90% of bleeding episodes in patients with haemophilia occur in the musculoskeletal system, of which most episodes occur in the joints. Haematoma formation in muscles, with the development of pseudotumours, may compromise neurovascular structures. The incidence of chronic compressive peripheral neuropathies due to extrinsic causes is low. Acute nerve compression due to intraneural bleeding in patients with haemophilia is a rare entity. We report on acute ulnar nerve compression due to intraneural bleeding, accompanied by median nerve symptoms and present a practical guide to the orthopaedic management of these patients.

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Correspondence:
Dr O Koch
Department of Orthopaedic Surgery
University of Pretoria
Private Bag X 169
Pretoria
0001

 

 

The content of this article is the sole work of the author. No benefits of any form have been derived from any commercial party related directly or indirectly to the subject of this article.