[Morphological skeletal changes in juvenile chronic arthritis.]

The authors demonstrate morphological skeletal changes (formative, destructive and synostoses) which developed in the course of juvenile chronic arthritis. On X-rays of selected patients they draw attention to damage which impedes normal activities of the patients, and frequently because of pain or immobility, eliminates them from normal life. Because of deformities some even have to rely on assistance of another person. The purpose of the submitted paper is to stress the importance and expedience of team work of rheumatologists, radiologists and orthopaedists. These specialists evaluate the present clinical state of the patient, the severity of skeletal damage and damage of surrounding soft structures, results of previous therapy and take into account the extent of morphological skeletal changes. They decide on the indication and type of surgery and its optimal timing to prevent further deterioration of already existing deformities. The aim of this comprehensive analysis by the mentioned specialists with participation of a physiotherapist is to select treatment which will prevent progression of deformities and eliminate, or at least mitigate pain and improve the patients' mobility. Key words: juvenile chronic arthritis, skeletal deformities, X-ray changes.