Juvenile Idiopathic Arthritis for the Pediatric Orthopedic Surgeon

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. Orthopedic surgical treatment may be indicated fo r deformity, limb length inequality, or end-stage arthritis. Evaluation of the cervical spine and appropriate medication management in consultation with a patient’s rheumatologist are essential in perioperative care. Preoperative planning should take into account patient deformity, contracture, sm all size, osteopenia, and medical comorbidities.
Source: Orthopedic Clinics of North America - Category: Orthopaedics Authors: Source Type: research