Israel National Haemophilia Center, Tel Hashomer Hospital, Israel.
Haemophilia. 2012 Jul;18 Suppl 4:101-4. doi: 10.1111/j.1365-2516.2012.02833.x.
The elbow is a complex joint that is prone to bleeding episodes. These features as well as the close proximity of the ulnar nerve and the need to use the elbow in many activities of daily living can lead to a range of symptoms including recurrent bleeds, pain, instability or loss of range of movement and nerve compression. Conservative management includes splinting and proprioceptive retraining monitored by a physiotherapist who is a musculoskeletal expert in hemophilia care. In the event that conservative measures are not successful a range of surgical options may be indicated including elbow replacement. These approaches continue to be evaluated in both the short and long term in order to determine the most effective treatment for the symptomatic elbow.
肘部是一个复杂的关节，容易发生出血事件。这些特征以及尺神经的接近和在日常生活中许多活动中使用肘部的需要，可导致一系列症状，包括反复出血、疼痛、不稳定或运动范围丧失以及神经压迫。保守治疗包括夹板固定和本体感觉再训练，由血友病护理方面的肌肉骨骼专家物理治疗师进行监测。如果保守治疗无效，可能需要一系列手术选择，包括肘部置换。这些方法在短期和长期都在不断评估，以确定治疗症状性肘部的最有效方法。
