[Rheumatic shoulder joints in childhood].

IF 0.9 4区 医学 Q4 RHEUMATOLOGY
Zeitschrift fur Rheumatologie Pub Date : 2025-06-01 Epub Date: 2025-05-09 DOI:10.1007/s00393-025-01654-8
Daniel Windschall, Hartmut Bork, Faekah Gohar, Anna Maier
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引用次数: 0

Abstract

Although the knee joint in children and adolescents is most frequently affected in cases of juvenile idiopathic arthritis (JIA), shoulder joint arthritis is only present in a small proportion of JIA patients at disease onset. Shoulder joint involvement is more frequently seen in polyarthritis or chronic JIA, which if not considered and left untreated can lead to substantial joint immobility and with a destructive course. In addition to the clinical examination, imaging methods help to verify an early involvement of the shoulder joint and imaging can also provide important information in a treat to target concept. The treatment of pediatric omarthritis is very often guided by the treatment algorithm for the appropriate JIA category. In this respect, in addition to local steroid injections, medications such as methotrexate, biologicals and also Janus kinase (JAK) inhibitors are used. In addition to the pharmacotherapy, physiotherapy also plays an important role.

[儿童期风湿性肩关节]。
虽然儿童和青少年的膝关节在幼年特发性关节炎(JIA)病例中最常见,但肩关节关节炎仅在一小部分JIA患者发病时出现。肩关节受累更常见于多发性关节炎或慢性JIA,如果不加以考虑和治疗,可导致严重的关节不活动,并具有破坏性的过程。除了临床检查外,影像学方法有助于证实肩关节的早期受累,影像学也可以为治疗目标概念提供重要信息。小儿眼肌关节炎的治疗通常以适当JIA分类的治疗算法为指导。在这方面,除了局部类固醇注射外,还使用甲氨蝶呤、生物制剂和Janus激酶(JAK)抑制剂等药物。除了药物治疗外,物理治疗也起着重要作用。
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来源期刊
Zeitschrift fur Rheumatologie
Zeitschrift fur Rheumatologie 医学-风湿病学
CiteScore
2.20
自引率
20.00%
发文量
150
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift für Rheumatologie ist ein international angesehenes Publikationsorgan und dient der Fortbildung von niedergelassenen und in der Klinik tätigen Rheumatologen. Die Zeitschrift widmet sich allen Aspekten der klinischen Rheumatologie, der Therapie rheumatischer Erkrankungen sowie der rheumatologischen Grundlagenforschung. Umfassende Übersichtsarbeiten zu einem aktuellen Schwerpunktthema sind das Kernstück jeder Ausgabe. Im Mittelpunkt steht dabei gesichertes Wissen zu Diagnostik und Therapie mit hoher Relevanz für die tägliche Arbeit – der Leser erhält konkrete Handlungsempfehlungen. Frei eingereichte Originalien ermöglichen die Präsentation wichtiger klinischer Studien und dienen dem wissenschaftlichen Austausch.
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