{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:40:03Z","timestamp":1756327203890,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"unspecified","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,10]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Muscle haematomas in patients with mild haemophilia may present differently to patients with severe haemophilia on prophylactic treatments. Bleeding in mild haemophilia is often related to surgery, invasive procedures, trauma and sporting injuries; a delay in presentation and treatment is common due to the lack of awareness of the seriousness of the condition. We discuss the management of an early adolescent male with a known mild haemophilia A diagnosis who presented to the hospital following blunt trauma to his thigh. Ultrasound demonstrated a large quadriceps intramuscular haematoma, which could increase the risk for compartment syndrome if not treated promptly or adequately. In this case, delayed treatment resulted in an inpatient admission and lengthy rehabilitation. This case report documents the multidisciplinary management, considering the medical, surgical, nursing, physiotherapy and medical imaging aspects of this presentation that effectively guided rehabilitation and return to sport complication-free.<\/jats:p>","DOI":"10.1136\/bcr-2024-263253","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T23:35:10Z","timestamp":1744932910000},"page":"e263253","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary management of a significant quadriceps haematoma in an adolescent with mild haemophilia"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8871-6479","authenticated-orcid":false,"given":"Hayley","family":"Coulson","sequence":"first","affiliation":[{"name":"Physiotherapy, Children\u2019s Health Queensland Clinical Unit at the Queensland Children\u2019s Hospital, South Brisbane, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"McCosker","sequence":"additional","affiliation":[{"name":"Haematology & Haemophilia, Children\u2019s Health Queensland Clinical Unit at the Queensland Children\u2019s Hospital, South Brisbane, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1843-1602","authenticated-orcid":false,"given":"Tristan","family":"Reddan","sequence":"additional","affiliation":[{"name":"Medical Imaging and Nuclear Medicine, Children\u2019s Health Queensland Clinical Unit at the Queensland Children\u2019s Hospital, South Brisbane, Queensland, Australia"},{"name":"School of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Brown","sequence":"additional","affiliation":[{"name":"Haematology & Haemophilia, Children\u2019s Health Queensland Clinical Unit at the Queensland Children\u2019s Hospital, South Brisbane, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"2025082713245866000_18.4.e263253.1","first-page":"535","article-title":"Diagnosis and care of patients with mild haemophilia: practical recommendations for clinical management","volume":"16","author":"Benson","year":"2018","journal-title":"Blood Transfus"},{"key":"2025082713245866000_18.4.e263253.2","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1302\/2058-5241.4.180068","article-title":"Musculoskeletal treatment in haemophilia","volume":"4","author":"Atilla","year":"2019","journal-title":"EFORT Open Rev"},{"key":"2025082713245866000_18.4.e263253.3","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.jor.2015.05.007","article-title":"Compartment syndrome in patients with haemophilia","volume":"12","author":"Donaldson","year":"2015","journal-title":"J Orthop"},{"key":"2025082713245866000_18.4.e263253.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2011.02720.x"},{"key":"2025082713245866000_18.4.e263253.5","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1111\/j.1365-2516.2012.02926.x","article-title":"Short-term low-dose secondary prophylaxis for severe\/moderate haemophilia A children is beneficial to reduce bleed and improve daily activity, but there are obstacle in its execution: a multi-centre pilot study in China","volume":"19","author":"Tang","year":"2013","journal-title":"Haemophilia"},{"key":"2025082713245866000_18.4.e263253.6","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1111\/1742-6723.14098","article-title":"Review article: A comprehensive review of unusual causes of acute limb compartment syndrome","volume":"34","author":"Steadman","year":"2022","journal-title":"Emerg Med Australas"},{"key":"2025082713245866000_18.4.e263253.7","article-title":"Avoidable Compartment Syndrome! High Index of Suspicion for a Newly Presenting Haemophiliac: A Case Series","volume":"2016","author":"Niblock","year":"2016","journal-title":"Case Rep Emerg Med"},{"key":"2025082713245866000_18.4.e263253.8","unstructured":"Guidelines for the management of haemophilia in Australia. 2016. Available: https:\/\/www.blood.gov.au\/system\/files\/HaemophiliaGuidelines-interactive-updated-260317v2.pdf"},{"key":"2025082713245866000_18.4.e263253.9","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1177\/2040620718784834","article-title":"Recent advances in musculoskeletal physiotherapy for haemophilia","volume":"9","author":"Stephensen","year":"2018","journal-title":"Ther Adv Hematol"},{"key":"2025082713245866000_18.4.e263253.10","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1111\/hae.15065","article-title":"A clinical practice guideline for primary care physiotherapy in patients with haemophilia","volume":"30","author":"Blokzijl","year":"2024","journal-title":"Haemophilia"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263253","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:25:02Z","timestamp":1756326302000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4,17]]},"published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1136\/bcr-2024-263253"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263253","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}