X-Ray Diagnostics of Femoral Head Destruction in Patients with Hemophilia A

Abstract: Hemophilia A is a hereditary coagulation disorder that often leads to recurrent haemarthroses and progressive joint destruction, particularly in weight-bearing joints such as the hip. This study aims to evaluate the diagnostic capabilities of conventional X-ray imaging in detecting femoral head destruction in patients with Hemophilia A. A total of 36 male patients aged 12–45 years with moderate to severe Hemophilia A underwent standard anteroposterior pelvic radiographs. Radiological findings were assessed using the Arnold–Hilgartner classification and correlated with clinical data. The majority of patients exhibited Grade III or higher arthropathy, with common features including joint space narrowing, subchondral cysts, and femoral head flattening. A significant correlation was found between disease duration and severity of radiographic damage. The study confirms the continued relevance of X-ray imaging as an accessible, cost-effective method for assessing joint degeneration in hemophilia, especially in resource-limited settings