Erschienen in:
05.03.2018 | Review Article
Point-of-care Ultrasonography in Orthopedic Management of Hemophilia: Multiple Uses of an Effective Tool
verfasst von:
Hortensia De la Corte-Rodriguez, MD, PhD, E. Carlos Rodriguez-Merchan, MD, PhD, Víctor Jimenez-Yuste, MD, PhD
Erschienen in:
HSS Journal ®
|
Ausgabe 3/2018
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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.