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Arthroscopic Treatment of an Juvenile Idiopathic Arthritis of the WristArthroskopische Behandlung einer juvenilen idiopathischen Arthritis des Handgelenkes
Juvenile idiopathic arthritis (JIA) comprises a group of arthritic diseases of various etiologies with onsets before 16 years of age. JIA is the most common chronic rheumatic condition in pediatric patients , . The International League of Associations for Rheumatology 2001 classification of JIA includes the following subtypes: systemic-onset arthritis, oligoarthritis, extended oligoarthritis, polyarthritis (rheumatoid factor [RF]-negative), polyarthritis (RF-positive), psoriatic arthritis, enthesitis-related arthritis, and undifferentiated arthritis .
The wrist joint is the fourth most commonly affected joint in JIA, followed by the knee, ankle, and elbow joints . Early involvement of the wrist joint has been established as a poor prognostic factor , , . However, the role of arthroscopy in the JIA wrist is ambiguous.
We experienced a rare case of an adolescent patient with JIA who experienced chronic wrist pain associated with volar intercalated segment instability (VISI) deformity and was treated with arthroscopic synovectomy and temporary K-wire fixation correcting alignment. We herein report the clinical course and outcomes.
Article published online:
01 June 2022
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