Joint degeneration is the sequel to repeated bleeding; it usually commences before the age of 15 years of age.
First there is chronic synovitis which is followed by cartilage degeneration. A joint that is affected shows wasting and is deformed in a manner not dissimilar to that in tuberculous or rheumatoid arthritis.
Radiological studies reveal periarticular osteoporosis and progressive joint erosion.
Further degeneration is preventable by controlling bleeding, encouraging movement and counteracting joint deformity.
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