A Common Language for the Multidisciplinary Team: Point‐of‐Care Musculoskeletal Ultrasound in Modern Haemophilia Care
The evolving haemophilia care landscape has evolved with personalised prophylaxis, new coagulation factor molecules, non-replacement therapies, and gene therapy, leading to significantly reduced bleeding frequency and haemophilic arthropathy burden. With improved treatment outcomes, clinical priorities have shifted from bleed prevention to long-term joint preservation and enhanced quality of life for people with haemophilia (PwH). Subclinical joint changes often go undetected without sensitive tools. To this end, point-of-care musculoskeletal ultrasound (POC MCK-US) has emerged as a crucial way for early detection of joint abnormalities offering fast, non-invasive, and repeatable assessments. When embedded within a structured multidisciplinary team, POC MSK-US facilitates real-time, personalised decision-making and enhances cross-disciplinary communication. In addition, it provides valuable information to patients and caregivers about their joint health and prophylaxis success, improving patient adherence and self-efficacy. Broader adoption of POC MSK-US remains limited due to access to training, equipment, and standardised assessment frameworks. Promoting its implementation through interprofessional education, standardisation, and institutional support-particularly via societies like the European Association for Haemophilia and Allied Disorders (EAHAD)-will be key to expanding equitable access, improving patient outcomes, and ensuring comprehensive, proactive haemophilia management.
Authors
- Mauro Dávoli (ORCID: https://orcid.org/0000-0003-0584-1901)
- Cedric R.J.R. Hermans (ORCID: https://orcid.org/0000-0001-5429-8437)
- Magnus Aspdahl (ORCID: https://orcid.org/0000-0002-4427-5159)
- María Teresa Álvarez Román (ORCID: https://orcid.org/0000-0003-3296-4288)
- Christina Burgess
- Gianluigi Pasta (ORCID: https://orcid.org/0000-0002-1919-5130)
- Víctor Jiménez‐Yuste (ORCID: https://orcid.org/0000-0003-3937-3499)
- Hortensia De la Corte‐Rodríguez (ORCID: https://orcid.org/0000-0002-9179-201X)
- David C. Stephensen (ORCID: https://orcid.org/0000-0002-6175-3343)
- Carlo Martinoli (ORCID: https://orcid.org/0000-0001-8201-3849)
- Roberta Gualtierotti (ORCID: https://orcid.org/0000-0001-6465-7624)
- Karin Fijnvandraat (ORCID: https://orcid.org/0000-0003-0904-4360)
- Wolfgang Miesbach (ORCID: https://orcid.org/0000-0002-4506-0061)
- Marko Marinić (ORCID: https://orcid.org/0000-0002-9683-7571)
- Malin Svennefalk
- the E.A.H.A.D. Joint Health Group
- Michael Sigl‐Kraetzig (ORCID: https://orcid.org/0009-0000-9394-6062)
Institutions
- Goethe University Frankfurt (DE)
- Canterbury Christ Church University (GB)
- Cliniques Universitaires Saint-Luc (BE)
- Karolinska University Hospital (SE)
- University of Milan (IT)
- Hospital Universitario La Paz (ES)
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
- Sanquin (NL)
- Emma Kinderziekenhuis (NL)
- Hospital La Paz Institute for Health Research (ES)
- University Hospital Frankfurt (DE)
- Institut Društvenih Znanosti Ivo Pilar (HR)
- Croatian Science Foundation (HR)
- Ospedale Policlinico San Martino (IT)
- Universidad Alfonso X el Sabio (ES)
- Policlinico San Matteo Fondazione (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Universidad Autónoma de Madrid (ES)
- University of Genoa (IT)
- UCLouvain (BE)
Publication Details
- Journal
- Haemophilia
- Published
- 2026-09-20
- DOI
- https://doi.org/10.1111/hae.70411
- Primary Topic
- Hemophilia Treatment and Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00