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August 27, 1973

The Management of Musculo-skeletal Problems in the Haemophilias

Author Affiliations

Rochester General Hospital Rochester, NY

JAMA. 1973;225(9):1129. doi:10.1001/jama.1973.03220370065040

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This monograph is the latest in a series from the Oxford group regarding the care of patients with hemophilia. In this work the authors describe their experience with musculoskeletal hemorrhage during the years 1966 through 1969 and they speak with authority, since 2,087 separate episodes of muscular or joint hemorrhage were observed. This book is an excellent summary of that experience.

The book begins with a chapter on the physiology of hemostasis, followed by a section concerned with the principles of replacement therapy—a chapter both excellent and current. The major portion of the work begins with a description of acute muscular and skeletal hemorrhage, followed by a discussion of peripheral nerve lesions, and concludes with the management of fractures in the hemophilic patient. The final two chapters deal with reconstructive surgery and physiotherapy in the hemophiliac.

I personally found best the section that dealt with hemophilic cysts, pseudotumors, and the