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The Correlation Between the HEAD-US-C Score and HJHS in Hemophilic Arthropathy of the Knee

Yunmei Fang1, Yulin Guo2, Ting Qin1

  • 1Department of Ultrasound, The Second Hospital of Shanxi Medical University, Taiyuan, China.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|August 3, 2022
PubMed

Insights

The Hemophilia Early Detection Ultrasound in China (HEAD-US-C) score correlates with the Hemophilia Joint Health Score (HJHS) in patients with hemophilia. This ultrasound score is valuable for assessing hemophilic arthropathy and understanding joint dysfunction.

Area of Science:

  • Orthopedics
  • Hematology
  • Radiology

Background:

  • Hemophilia commonly leads to joint damage, particularly in the knees.
  • Accurate assessment of joint health is crucial for managing hemophilic arthropathy.
  • Existing scoring systems may not fully capture early ultrasound-detected changes.

Purpose of the Study:

  • To evaluate the correlation between the Hemophilia Early Detection Ultrasound in China (HEAD-US-C) score and the Hemophilia Joint Health Score version 2.1 (HJHS 2.1) for knee joints in hemophilia patients.
  • To determine if the HEAD-US-C score can reflect clinical joint functional abnormalities.

Main Methods:

  • Seventy male hemophilia patients' knee joints were assessed using both HEAD-US-C and HJHS.
  • Analysis included factors influencing knee arthropathy and the correlation between the two scoring systems.

Main Results:

  • Joint injury severity correlated positively with age and bleed frequency (P < .001).
  • Both HEAD-US-C and HJHS scores varied significantly with hemophilia severity (P < .001) but not type.
  • A significant positive correlation was found between the HEAD-US-C score and HJHS (P < .001).

Conclusions:

  • Ultrasound-detected joint lesions align with clinical joint functional abnormalities.
  • The HEAD-US-C score is a valuable tool for evaluating hemophilic arthropathy.
  • HEAD-US-C effectively explains abnormal joint function in hemophilia patients.
Abstract

Keywords:
Hemophilia Joint Health Scorehemophiliahemophilic arthropathyultrasound

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