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Journal of Case Reports
Hemosiderotic Synovitis of Hip
Varun Kumar Singh1, Nagasravani D2, Aishwarya Singh3, Shyamsunder Bhat4
Departments of 1Pathology, 2,3MBBS student, 4Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Corresponding Author:
Dr Varun Kumar Singh
Email: varun.singh@manipal.edu
Received: 18-SEP-2024 Accepted: 31-JAN-2025 Published Online: 05-MAR-2025
DOI: http://dx.doi.org/10.17659/01.2025.0006
Abstract
Background: Hemosiderotic synovitis is a rare and chronic synovial disorder caused by recurrent hemorrhages within the joint. It leads to significant structural alterations, often progressing to chronic osteoarthritis. Typically presenting as a monoarticular disorder with pain and restricted range of motion, it is most commonly observed in adult males, with the knee joint being the most frequently affected site. The predominant causes include hereditary bleeding disorders, followed by trauma. Case Report: We present a case of hemosiderotic synovitis of the hip joint in a 63-year-old female without any history of bleeding diathesis. The patient's clinical presentation included progressive hip pain and restricted movement. Arthroscopic evaluation played a crucial role in diagnosis and management, allowing direct visualization of the pathology, symptom relief, and tissue sampling for histopathological confirmation. Conclusion: Early recognition of this distinct subtype of hemosiderotic synovitis and an understanding of its potential underlying causes can lead to prompt diagnosis, significantly reduced morbidity, and improved patient outcomes.
Keywords : Arthroscopy, Hemorrhage, Hemosiderin, Hemosiderosis, Synovitis.
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