# Ultrasound assessment and scoring of tendinopathy in hemophilia: Development of the Tendon Haemophilic Damage ‐ Ultrasound (THD‐US) method

## TL;DR

This study created a new ultrasound method to assess tendinopathy in people with hemophilia, helping improve diagnosis and treatment.

## Contribution

The THD-US protocol is a novel ultrasound-based scoring system for evaluating hemophilia-related tendinopathy.

## Key findings

- The THD-US method assessed 200 tendons in hemophilia patients, identifying structural changes, hyperemia, and calcifications.
- The protocol offers a standardized and efficient way to evaluate tendinopathy in hemophilia patients.
- The method can improve patient management and clinical outcomes for those with hemophilic arthropathy.

## Abstract

This study aimed to develop and validate the tendinopathy hemophilia detection with ultrasonography (THD‐US) protocol for assessing hemophilia‐related tendinopathy. Twenty male patients with hemophilic arthropathy underwent ultrasound evaluations of 200 tendons. The THD‐US scoring method assessed structural changes, hyperemia, and calcifications, revealing various tendon abnormalities. This protocol provides a standardized, efficient method for assessing tendinopathy in hemophilia patients, potentially improving patient management and outcomes.

This study introduces the THD‐US protocol, a novel ultrasound‐based scoring system for assessing tendinopathy in hemophilia patients. It effectively identifies and grades tendon abnormalities, facilitating better management and treatment strategies in clinical practice.