Progressive Distal Radius Deformity in Juvenile Idiopathic Arthritis: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-08-29 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00194

Vincent Roy, Patrick Thornley, Kevin Morash, Roberta A Berard, Debra Bartley, Timothy P Carey

引用次数: 0

Abstract

Case: We report a case of progressive angular deformity of the left wrist in a 4-year-old girl with a 2-year history of juvenile idiopathic arthritis (JIA)-oligoarthritis subtype (<4 joints affected) with inflammatory extensor tenosynovitis affecting the left wrist, who underwent a left distal radius osteotomy with tricortical allograft for angular correction and functional recovery. Six years postoperatively, the patient demonstrates a near-anatomic left wrist and has recovered full range of motion and function.

Conclusion: This case demonstrates how rare clinically devastating angular deformities in JIA may safely and effectively be surgically managed to promote normal, long-term, extremity function.

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幼年特发性关节炎的进行性桡骨远端畸形：病例报告

病例：我们报告了一例左手腕进行性成角畸形的病例，患者是一名 4 岁的女孩，患有幼年特发性关节炎（JIA）--oligoarthritis 亚型（结论：该病例表明，临床上罕见的 JIA 成角畸形可以通过手术安全有效地治疗，从而促进肢体功能的长期正常发挥：本病例展示了如何安全有效地通过手术治疗 JIA 中罕见的临床破坏性成角畸形，以促进正常、长期的肢体功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.