Juvenile Idiopathic Arthritis for the Pediatric Orthopedic Surgeon

被引：6

作者：

Bovid, Karen M. ^{[1
]}

Moore, Mary D. ^{[2
]}

机构：

[1] Western Michigan Univ, Dept Orthopaed Surg, Homer Stryker MD Sch Med, 1000 Oakland Dr, Kalamazoo, MI 49008 USA

[2] Cent Michigan Univ, Dept Pediat, Coll Med, 1000 Houghton Ave, Saginaw, MI 48602 USA

来源：

ORTHOPEDIC CLINICS OF NORTH AMERICA | 2019年 / 50卷 / 04期

关键词：

Juvenile idiopathic arthritis; Juvenile rheumatoid arthritis; Juvenile chronic arthritis; Enthesitis; Spondyloarthropathy; TOTAL HIP-ARTHROPLASTY; SOFT-TISSUE RELEASE; MACROPHAGE ACTIVATION SYNDROME; LEG-LENGTH DISCREPANCIES; TOTAL KNEE ARTHROPLASTY; RHEUMATOID-ARTHRITIS; PSORIATIC-ARTHRITIS; FOLLOW-UP; AMERICAN-COLLEGE; CERVICAL-SPINE;

D O I：

10.1016/j.ocl.2019.06.003

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Juvenile idiopathic arthritis includes conditions characterized by joint inflammation of unknown etiology lasting longer than 6 weeks in patients younger than 16 years. Diagnosis and medical management are complex and best coordinated by a pediatric rheumatologist. The mainstay of therapy is anti-inflammatory and biologic medications to control pain and joint inflammation. Orthopaedic surgical treatment may be indicated for deformity, limb length inequality, or end-stage arthritis. Evaluation of the cervical spine and appropriate medication management in consultation with the patient's rheumatologist are essential in perioperative care. Preoperative planning should take into account patient deformity, contracture, small size, osteopenia, and medical comorbidities.

引用

页码：471 / +

页数：19

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