Identification of Spontaneous Shoulder Hemarthrosis with Point-of-Care Ultrasound in the Emergency Department - PubMed (original) (raw)

Identification of Spontaneous Shoulder Hemarthrosis with Point-of-Care Ultrasound in the Emergency Department

Kevin A Padrez et al. Clin Pract Cases Emerg Med. 2022 May.

Abstract

Case presentation: A 32-year-old man with a history of hemophilia A presented to the emergency department with right shoulder pain, swelling, and decreased range of motion.

Discussion: Emergency physicians can use ultrasound to quickly and accurately identify hemarthrosis at the bedside.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1

Image 1

Photo of patient demonstrating asymmetric swelling of the right shoulder.

Image 2

Image 2

Ultrasound images of the affected right shoulder (2A) and unaffected left shoulder (2B) showing scapular spine (A), glenoid (B), humeral head (C) and infraspinatus tendon (D). A mixed-echotexture collection consistent with an intraarticular hemarthrosis (star) is visualized in the right shoulder.

References

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    1. Kidder W, Nguyen S, Larios J, et al. Point-of-care musculoskeletal ultrasound is critical for the diagnosis of hemarthroses, inflammation and soft tissue abnormalities in adult patients with painful haemophilic arthropathy. Haemophilia. 2015;21(4):530–7. -PubMed
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