Protocolo estandarizado HEAD-US para detectar hemorragia articular en pacientes con artropatía hemofílica.
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| Title: | Protocolo estandarizado HEAD-US para detectar hemorragia articular en pacientes con artropatía hemofílica. |
|---|---|
| Alternate Title: | Standardized HEAD-US protocol for detecting joint hemorrhage in patients with hemophilic arthropathy. |
| Authors: | Sanches-Vargas, Karla B.1 charlypeanut555@gmail.com, Ponce-Hinojosa, Graciela L.1, Cruz-Arias, Arturo1 |
| Source: | Anales de Radiologia, Mexico. ene-mar2026, Vol. 25 Issue 1, p38-47. 10p. |
| Subjects: | Diagnostic imaging, Synovitis, Hemorrhage, Joint injuries, Ultrasonic imaging |
| Abstract (English): | Objective: Report our experience using the protocol established by Martonoli et al., describing the ultrasound findings in patients diagnosed with hemophilic arthropathy at the General Ignacio Zaragoza Regional Hospital, highlighting the role of the radiology and imaging department. Method: Prospective, descriptive and cross-sectional study, using a linear transducer from 8 to 12 MHz, evaluating the joints at any clinical moment, of elbows, knees and ankles bilaterally, through the use of the standardized HEAD-US protocol, developed by Martinoli et al. using an additive scale that includes indicators of disease activity (hypertrophic synovium) and structural osteochondral damage (articular cartilage and subchondral bone). Results: Thirteen patients were evaluated, 26 elbows, 26 knees and 26 ankles, all male patients. We found the right ankle as the most frequent target joint, the disease activity (synovitis) is more prevalent in the left knee and the most prevalent osteochondral cartilage damage is in the right elbow. Conclusion: The evaluation of the joints through this HEAD-US protocol is a useful, accessible and brief tool in the evaluation of patients with hemophilic arthropathy with a duration of 12 minutes, so it could be used for joint assessment. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Reportar nuestra experiencia al emplear el protocolo ya establecido por Martonoli et al., describir los hallazgos ultrasonográficos de los pacientes con diagnóstico de artropatía hemofílica del Hospital Regional General Ignacio Zaragoza, destacando el rol que tiene el área de radiología e imagen. Método: Estudio prospectivo, descriptivo y transversal, utilizando transductor lineal de 8 a 12 MHz, evaluando las articulaciones en cualquier momento clínico, de codos, rodillas y tobillos de forma bilateral, mediante el uso del protocolo estandarizado HEAD-US, desarrollado por Martinoli et al., utilizando una escala aditiva que incluye indicadores de actividad de enfermedad (sinovio hipertrófico) y daño osteocondral estructural (cartílago articular y hueso subcondral). Resultados: Se evaluaron 13 pacientes, 26 codos, 26 rodillas y 26 tobillos, todos pacientes hombres. Encontramos tobillo derecho como la articulación diana más frecuente, la actividad de la enfermedad (sinovitis) es más prevalente en rodilla izquierda y el daño osteocondral cartilaginoso más prevalente es en codo derecho. Conclusiones: La evaluación de las articulaciones por medio de este protocolo HEAD-US, es una herramienta útil, accesible y breve en la evaluación de los pacientes con artropatía hemofílica con duración de 12 minutos, por lo que se podría emplear para la valoración articular. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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