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SA Orthopaedic Journal

versão On-line ISSN 2309-8309
versão impressa ISSN 1681-150X

SA orthop. j. vol.8 no.3 Centurion Jan. 2009




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



O KochI; A VisserII

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





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



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.

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