Juvenile Idiopathic Arthritis for the Pediatric Orthopedic Surgeon

Bovid, Karen; Moore, Mary

doi:10.1016/j.ocl.2019.06.003

Cited by 12 publications

(11 citation statements)

References 94 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…JIA in combination with LCPD is extremely rare. JIA represents the most common rheumatic disease in children, with a reported incidence of 1.9 to 23 per 100,000 and an onset before 16 years of age [3,6,12]. The peak incidence of LCPD is between 4 and 8 years of age, with 5.1 to 11.6 affected children per 100,000 per year [8].…”

Section: Discussionmentioning

confidence: 99%

“…Legg-Calvé-Perthes disease (LCPD) and juvenile idiopathic arthritis (JIA) are potential differential diagnoses [3][4][5]. The etiologies of those disorders are not entirely understood [6][7][8]. Synovitis and joint effusion, which are suspected to play a significant role in the interruption of blood supply of the femoral head, occur in both disorders [9].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

Ross

Foeldvari²,

Krajewski

et al. 2021

Children

View full text Add to dashboard Cite

Background: This study aimed to determine the clinical and radiological course in children who had Legg–Calvé–Perthes disease (LCPD) associated with juvenile idiopathic arthritis (JIA). Methods: In a retrospective chart review between 2007 and 2019, eight consecutive JIA patients diagnosed with concomitant LCPD were identified and compared with a case-control group of 10 children with LCPD only. Results: LCPD was diagnosed at a mean age of 8.1 years (3.0–14.7) in children with JIA as compared to 6.1 years (2.9–10.0) in controls. According to the modified Harris Hip Score (mHHS), four children with JIA and all controls had an excellent result. Regarding the fragmentation severity and the duration of each stage, we found no differences using the lateral pillar and modified Elizabethtown classification. Five hips were classified as Stulberg I/II, two hips as Stulberg III, and one hip as Stulberg V with no evidence of hip dysplasia or severe overcoverage in either group. Conclusions: The radiological outcome of LCPD did not differ between both groups, while the clinical outcome was slightly better in controls. Physicians should be aware that children with LCPD may have JIA too. In suspicious cases, further investigations are recommended, and patients should be referred to pediatric rheumatologists.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

Ross

Foeldvari²,

Krajewski

et al. 2021

Children

View full text Add to dashboard Cite

show abstract

“…Even with the adjunct of rheumatologic medication such as disease-modifying antirheumatic drugs, JIA may progress to advanced arthritis, causing pain and disability in those affected [21]. Orthopedic surgical treatment is often necessary for correcting deformity, limb length discrepancy, or severe arthritis [2]. Operative methods include releasing of soft tissues, osteotomies, synovectomies, total joint replacements, and joint fusions [2,15,21].…”

Section: Orthopedic Treatment Options For Jiamentioning

confidence: 99%

“…Orthopedic surgical treatment is often necessary for correcting deformity, limb length discrepancy, or severe arthritis [2]. Operative methods include releasing of soft tissues, osteotomies, synovectomies, total joint replacements, and joint fusions [2,15,21]. Complex joint deformity caused by soft tissue contracture may complicate and decrease functionality.…”

Section: Orthopedic Treatment Options For Jiamentioning

confidence: 99%

See 1 more Smart Citation

Review of the Pathophysiology, Diagnosis, and Orthopedic Treatment Options for Juvenile Idiopathic Arthritis

Truong¹,

Chambers

et al. 2021

OOIJ

View full text Add to dashboard Cite

While juvenile idiopathic arthritis is the most common inflammatory joint condition within the pediatric population, the burden of this pathology can be lessened by early detection and interdisciplinary management to avoid severe joint damage and skeletal deformity. The etiology of juvenile idiopathic arthritis is largely unknown; however, immunologic studies show possible involvement of CD141+, CD123+, and dendritic cells. The natural disease course consists of inflammatory soft tissue damage coupled with joint effusion that eventually progresses to bone and joint changes. In terms of diagnosis, musculoskeletal ultrasonography has been shown to be effective in the early detection of juvenile idiopathic arthritis, especially in small joints. Magnetic resonance imaging and radiography are also valid techniques for diagnosis, but they generally fail to detect preclinical juvenile idiopathic arthritis, whereas ultrasound is successful in doing so. Orthopedic treatment options include conservative measures such as non-steroidal inflammatory drugs and corticosteroid injections. Surgical intervention is often indicated to treat deformity, limb length, and severe arthritis. Total joint replacement is primarily performed for functional impairment and deformity rather than for pain. Factors that may complicate surgical intervention include small bone size, limb deformity, and soft tissue contracture.

show abstract

Etiology of Lower Limb Deformity

Zakrzewski,

Jain

2024

Pediatric Lower Limb Deformities

View full text Add to dashboard Cite

Juvenile Idiopathic Arthritis for the Pediatric Orthopedic Surgeon

Cited by 12 publications

References 94 publications

Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

Review of the Pathophysiology, Diagnosis, and Orthopedic Treatment Options for Juvenile Idiopathic Arthritis

Etiology of Lower Limb Deformity

Contact Info

Product

Resources

About