Hemophilia x ray

Revision as of 18:02, 22 January 2019 by Sabawoon Mirwais (talk | contribs)
Jump to navigation Jump to search

Hemophilia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hemophilia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Hemophilia x ray On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Hemophilia x ray

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Hemophilia x ray

CDC on Hemophilia x ray

Hemophilia x ray in the news

Blogs on Hemophilia x ray

Directions to Hospitals Treating Hemophilia

Risk calculators and risk factors for Hemophilia x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

An x-ray of the joints in the case of hemophilic arthropathy may be helpful in the diagnosis of hemophilia. Pettersson scoring system, designed in 1980, is widely applied for the classification of osteochondral changes of hemophilic arthropathy in elbows, knees, and ankles. This scoring system is based on typical findings of hemophilic arthropathy on posterior-anterior and lateral x-rays.

X Ray

  • An x-ray of the joints in the case of hemophilic arthropathy may be helpful in the diagnosis of hemophilia.
  • Pettersson scoring system, designed in 1980 and based on typical findings of hemophilic arthropathy on posterior-anterior and lateral x-rays, is widely applied for the classification of osteochondral changes of hemophilic arthropathy.[1]

Classification of hemophilic arthropathy according to the Pettersson score[1]

Finding Interpretation
Osteoporosis
  • Absent = 0
  • Present = 1
Enlargement of epiphysis
  • Absent = 0
  • Present = 1
Irregularity of subchondral surface
  • Absent = 0
  • Partially involved = 1
  • Totally involved = 2
Narrowing of joint space
  • Absent = 0
  • Joint space > 1 mm = 1
  • Joint space < 1 mm = 2
Subchondral cysts formation
  • Absent = 0
  • 1 cyst = 1
  • >1 cyst = 2
Erosion of joint margins
  • Absent = 0
  • Present = 1
Gross incongruence of articulating bone ends
  • Absent = 0
  • Slight = 1
  • Pronounced = 2
Joint deformity (angulation and/or displacement)
  • Absent = 0
  • Slight = 1
  • Pronounced = 2


(Images courtesy of RadsWiki)



References

  1. 1.0 1.1 Pettersson H, Ahlberg A, Nilsson IM (June 1980). "A radiologic classification of hemophilic arthropathy". Clin. Orthop. Relat. Res. (149): 153–9. PMID 7408294.

Template:WH Template:WS