Haemophilia is the most common inherited X linked severe bleeding disorder. Screening and early detection of haemophilic arthropathy along with prophylactic factor and physiotherapy decreases complication and disability. Hence this study was conducted to detect arthropathic changes and its severity in haemophilic children.
Aims and Objectives: To study cases of arthropathy and to assess the severity of arthropathy in Haemophilia A patients.
Methodology: Diagnosed cases of Haemophilia A Patients who came to Dr. D.Y. Patil Medical College, Pune were enrolled during study period i.e. October 2013 to September 2015 who fulfilled the inclusion criteria.
A standard proforma was used to get the detailed history and the examination findings along with X ray Knee and MRI Knee were evaluated and statistically analysed.
Results: Out of 50 subjects majority 84% were symptomatic & 16% were asymptomatic. Pain was the major complaint in 84%, followed by swelling 80% and restriction of movement in 44% cases. X ray findings in the study group, 58%- normal x ray findings, 16%- widened intercondylar notch in knee joint, 20%- minimal knee joint effusion, 2%- hyperdense expansion of the joint capsule with bony erosion & 4%- epiphyseal enlargement. MRI findings in study group, 34%- findings s/o haemophilic arthropathy, 28%- diffuse siderotic synovitis with minimal knee joint effusion, 26%- normal MRI finding, 8%- pigmented villonodular synovitis & 4%- findings s/o inflammatory arthritis.
Conclusion: All symptomatic cases had findings suggestive of haemophilic arthropathy on MRI; even 1 asymptomatic patient had findings suggestive of haemophilic arthropathy on MRI. MRI revealed findings suggestive of arthropathy in many cases where X ray findings were normal. This showed that MRI is a more sensitive tool than X ray to detect arthropathic changes.