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Predictive Variables for Interventional Angiography among Patients with Knee Hemarthrosis

Studies regarding the variables that could predict the success of conservative treatment for knee hemarthrosis are lacking. This retrospective study evaluated the laboratory variables of patients who had unsatisfactory results from conservative treatment for knee hemarthrosis. Twenty-nine patients c...

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Autores principales: Ko, Sang-Hun, Jung, Kwang-Hwan, Cha, Jae-Ryong, Park, Ki-Bong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025792/
https://www.ncbi.nlm.nih.gov/pubmed/35454024
http://dx.doi.org/10.3390/diagnostics12040976
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author Ko, Sang-Hun
Jung, Kwang-Hwan
Cha, Jae-Ryong
Park, Ki-Bong
author_facet Ko, Sang-Hun
Jung, Kwang-Hwan
Cha, Jae-Ryong
Park, Ki-Bong
author_sort Ko, Sang-Hun
collection PubMed
description Studies regarding the variables that could predict the success of conservative treatment for knee hemarthrosis are lacking. This retrospective study evaluated the laboratory variables of patients who had unsatisfactory results from conservative treatment for knee hemarthrosis. Twenty-nine patients conservatively treated for knee hemarthrosis were included and divided into two groups: group A comprised 14 patients who underwent interventional angiography and selective embolization due to failed conservative treatment, and group B comprised 15 patients with successful results after conservative treatment. The results of the serological and synovial fluid tests were evaluated. The mean number of synovial red blood cells (RBCs) was 1,905,857 cells/µL and 7730 cells/µL in groups A and B, respectively (p = 0.01), while the mean number of RBCs per high-power field (HPF) was 68.9 and 3.2, respectively (p < 0.01). Patients who underwent interventional angiography and selective embolization after failed conservative treatment for knee hemarthrosis had higher synovial RBC counts and RBC counts per HPF than those with successful outcomes after conservative treatment. It is necessary to carefully interpret the results of the synovial fluid analysis in patients with knee hemarthrosis; if the synovial fluid analysis shows a synovial RBC count greater than 81,500 and RBC count per HPF greater than 16.3, we recommend immediate interventional angiography rather than continuing conservative treatment.
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spelling pubmed-90257922022-04-23 Predictive Variables for Interventional Angiography among Patients with Knee Hemarthrosis Ko, Sang-Hun Jung, Kwang-Hwan Cha, Jae-Ryong Park, Ki-Bong Diagnostics (Basel) Article Studies regarding the variables that could predict the success of conservative treatment for knee hemarthrosis are lacking. This retrospective study evaluated the laboratory variables of patients who had unsatisfactory results from conservative treatment for knee hemarthrosis. Twenty-nine patients conservatively treated for knee hemarthrosis were included and divided into two groups: group A comprised 14 patients who underwent interventional angiography and selective embolization due to failed conservative treatment, and group B comprised 15 patients with successful results after conservative treatment. The results of the serological and synovial fluid tests were evaluated. The mean number of synovial red blood cells (RBCs) was 1,905,857 cells/µL and 7730 cells/µL in groups A and B, respectively (p = 0.01), while the mean number of RBCs per high-power field (HPF) was 68.9 and 3.2, respectively (p < 0.01). Patients who underwent interventional angiography and selective embolization after failed conservative treatment for knee hemarthrosis had higher synovial RBC counts and RBC counts per HPF than those with successful outcomes after conservative treatment. It is necessary to carefully interpret the results of the synovial fluid analysis in patients with knee hemarthrosis; if the synovial fluid analysis shows a synovial RBC count greater than 81,500 and RBC count per HPF greater than 16.3, we recommend immediate interventional angiography rather than continuing conservative treatment. MDPI 2022-04-13 /pmc/articles/PMC9025792/ /pubmed/35454024 http://dx.doi.org/10.3390/diagnostics12040976 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ko, Sang-Hun
Jung, Kwang-Hwan
Cha, Jae-Ryong
Park, Ki-Bong
Predictive Variables for Interventional Angiography among Patients with Knee Hemarthrosis
title Predictive Variables for Interventional Angiography among Patients with Knee Hemarthrosis
title_full Predictive Variables for Interventional Angiography among Patients with Knee Hemarthrosis
title_fullStr Predictive Variables for Interventional Angiography among Patients with Knee Hemarthrosis
title_full_unstemmed Predictive Variables for Interventional Angiography among Patients with Knee Hemarthrosis
title_short Predictive Variables for Interventional Angiography among Patients with Knee Hemarthrosis
title_sort predictive variables for interventional angiography among patients with knee hemarthrosis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025792/
https://www.ncbi.nlm.nih.gov/pubmed/35454024
http://dx.doi.org/10.3390/diagnostics12040976
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