A patient after a heart
operation uses anticoagulant therapy – Varfarin 3 mg od.
She suddenly notices a restriction of motility, feels a pressure in the
shoulder. At first the shoulder is not painful. But problems are developing
during next two days, and finally the patient feels strong pains which cause
that she cannot sleep at night.
The final clinical and ultrasound picture at haemarthros at this
patient are identical with findings at traumatic or rheumatoid synovitis.
Without another specification of a liquid in the joint it was eliminated to
determine final diagnosis on the basis of the ultrasound.
Ultrasound picture and scheme of haemarthros in the
axillary section, notice a pathological distance of the articular capsule from
the head of the humerus – 8,3 mm (norm 3,5 mm). The fact that
the pathological liquid is blood, we will prove after aspiration.
Otherwise the picture is the same as at other synovitides of the glenohumeral
articulation.
Scheme and ultrasound picture of a comparison of the
healthy side with the side with haemarthros in the glenohumeral articulation
picture
and scheme of an extent haematoma after an overdosage of anticoagulant therapy
in the longitudinal section
picture and scheme of haemarthros with parabursitis along
the long head of the biceps in the transversal section