Daniel Windschall, Hartmut Bork, Faekah Gohar, Anna Maier
{"title":"[Rheumatic shoulder joints in childhood].","authors":"Daniel Windschall, Hartmut Bork, Faekah Gohar, Anna Maier","doi":"10.1007/s00393-025-01654-8","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":"373-380"},"PeriodicalIF":0.9000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zeitschrift fur Rheumatologie","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00393-025-01654-8","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/9 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}
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.
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.