Clinical and Experimental Emergency Medicine

"Hemarthrosis"

Case Report

Imaging

Spontaneous elbow hemarthrosis identified by point-of-care ultrasound: David C. Mackenzie, Scott McCorvey; Clin Exp Emerg Med 2017;4(1):60-63. Published online March 30, 2017; DOI: https://doi.org/10.15441/ceem.16.137

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Spontaneous elbow hemarthrosis identified by point-of-care ultrasound

Clin Exp Emerg Med. 2017;4(1):60-63. Published online March 30, 2017

DOI: https://doi.org/10.15441/ceem.16.137

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

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Spontaneous elbow hemarthrosis identified by point-of-care ultrasound

Clin Exp Emerg Med. 2017;4(1):60-63. Published online March 30, 2017

DOI: https://doi.org/10.15441/ceem.16.137

Traumatic or spontaneous hemarthroses are an important cause of joint effusions, and can complicate innate or acquired coagulopathies. The elbow is an unusual location for a spontaneous hemarthrosis; we describe a previously unreported case of warfarin-induced spontaneous elbow hemarthrosis, diagnosed by point-of-care ultrasound. On the basis of clinical and ultrasound findings arthrocentesis was deferred, and the patient was successfully treated with warfarin reversal and conservative care. Physical examination is unreliable for the detection of a joint effusion, and misdiagnosis and can lead to unnecessary investigation or resource use. Point-of-care ultrasound allows accurate, prompt, direct visualization of a joint effusion, and non-invasive confirmation of a hemarthrosis. Ultrasound can facilitate accurate diagnosis and characterization of joint effusions to improve the care of patients with coagulopathy.

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