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Point-of-care Ultrasonography in Orthopedic Management of Hemophilia: Multiple Uses of an Effective Tool

Abstract

Even in our current era of hemophilia prophylaxis, articular complications can arise and there is a growing need for strategies in the prevention, diagnosis, and treatment of hemophilic arthropathy, a significant contributor to disability in patients with hemophilia. One useful tool, point-of-care ultrasonography (POC-US), offers diverse diagnostic and therapeutic possibilities. This article reviews the literature on the uses of POC-US in hemophilia, including early diagnosis of joint damage, differential diagnosis of articular pain, follow-up of joint injury, and guidance for both arthrocentesis and intra-articular injection. Studies show that for patients with hemophilia, POC-US enhances diagnostic accuracy and targeted treatments. Further research is required into the most efficient use of POC-US and the training needed to develop clinicians’ skills. The attributes of POC-US should be understood more fully to enable its widespread application.

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Correspondence to E. Carlos Rodriguez-Merchan MD, PhD.

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Hortensia De la Corte-Rodriguez, MD, PhD; E. Carlos Rodriguez-Merchan, MD, PhD; and Víctor Jimenez-Yuste, MD, PhD, declare that they have no conflicts of interest.

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De la Corte-Rodriguez, H., Rodriguez-Merchan, E.C. & Jimenez-Yuste, V. Point-of-care Ultrasonography in Orthopedic Management of Hemophilia: Multiple Uses of an Effective Tool. HSS Jrnl 14, 307–313 (2018). https://doi.org/10.1007/s11420-018-9604-x

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  • DOI: https://doi.org/10.1007/s11420-018-9604-x

Keywords

  • hemophilia
  • ultrasonography
  • point-of-care
  • arthropathy