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Severe pain immediately after an injury in combination with a capsular pattern and a spastic endfeel.
Traumatic haemarthrosis is characterized by a direct swelling,
pain at rest and nocturnal pain.
A fracture of the head of the radius or a fracture of the olecranon must always be excluded.
An invaluable radiographic sign in case of development of acute intra-articular fluid is the so-called fat pad sign.
Haemarthrosis may develop spontaneously in the elderly and in haemophylia.
Treatment consists of immediate aspiration of blood and search for the underlying cause.
Punction technique: landmarks
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