Handchir Mikrochir Plast Chir
DOI: 10.1055/a-1716-1697
Der interessante Fall

Arthroscopic Treatment of an Juvenile Idiopathic Arthritis of the Wrist

Arthroskopische Behandlung einer juvenilen idiopathischen Arthritis des Handgelenkes
Cheungsoo Ha
1   Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, South Korea
,
Bon San Koo
2   Department of Internal Medicine, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, South Korea
,
Jinho Lee
3   Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, South Korea
,
3   Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, South Korea
,
1   Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, South Korea
› Institutsangaben

Introduction

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 [1], [2]. 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 [3].

The wrist joint is the fourth most commonly affected joint in JIA, followed by the knee, ankle, and elbow joints [1]. Early involvement of the wrist joint has been established as a poor prognostic factor [1], [2], [3]. 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.



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Artikel online veröffentlicht:
01. Juni 2022

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