Knee joint in a patient with Hemophilic ahritis shows all of the following except

Following are the characteristic finding in knee Hemophilic ahritis SUBACUTE OR CHRONIC AHRITIS * Recurrent hemahroses, may lead to a self-perpetuating condition * Joint abnormalities persist in intervals between bleeding episodes * Involved joint is chronically swollen although painless and only slightly warm * Chronic synovitis, including prominent synol proliferation with or without effusion, may be present * Mild limitation of motion often with a flexion deformity * Factor replacement does not modify these findings END-STAGE HEMOPHILIC AHROPATHY * Features in common with DJD and advanced RA * Joint appears enlarged and "knobby" - osteophytic bone overgrowth * Synol thickening and effusion - not prominent * Range of motion is severely restricted * Fibrous ankylosis is common * Subluxation, joint laxity, and malalignment - frequently present * Hemahroses decreases in frequency Refer Caffeys pediatric diganitsic imaging by Brian D, Cooley p 1458