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Updated: May 12, 2025
06:09
Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
3.0K
[Rheumatic shoulder joints in childhood].
Daniel Windschall1,2, Hartmut Bork3,4, Faekah Gohar3
1Klinik für Kinder- und Jugendrheumatologie, Rheumatologisches Kompetenzzentrum Nordwestdeutschland St. Josef-Stift-Sendenhorst, Westtor 7, 48324, Sendenhorst, Deutschland. windschall@st-josef-stift.de.
Zeitschrift Fur Rheumatologie
|May 9, 2025
Summary
Juvenile idiopathic arthritis (JIA) can affect the shoulder, leading to immobility if untreated. Early diagnosis via imaging and tailored treatments, including medications and physiotherapy, are crucial for managing pediatric shoulder arthritis.
Area of Science:
- Pediatric Rheumatology
- Immunology
- Orthopedics
Context:
- Juvenile idiopathic arthritis (JIA) commonly affects the knee but can involve the shoulder joint in a subset of patients.
- Shoulder involvement in JIA is more prevalent in polyarticular or chronic disease patterns.
- Untreated shoulder arthritis in JIA can result in significant joint immobility and destructive changes.
Purpose:
- To highlight the importance of recognizing and managing shoulder joint involvement in juvenile idiopathic arthritis.
- To emphasize the role of clinical examination and advanced imaging in early detection of pediatric shoulder arthritis.
- To outline current treatment strategies for pediatric shoulder arthritis within the JIA framework.
Summary:
- Early shoulder joint arthritis in JIA, though less common at onset, requires prompt identification and intervention.
- Imaging modalities are essential for verifying early shoulder involvement and guiding treatment decisions in JIA.
- Treatment approaches encompass pharmacotherapy (methotrexate, biologics, JAK inhibitors) and local steroid injections, alongside physiotherapy.
Impact:
- Facilitates timely diagnosis and management of JIA-related shoulder arthritis, potentially preventing long-term disability.
- Informs a 'treat-to-target' approach for pediatric shoulder arthritis, improving patient outcomes.
- Underscores the multidisciplinary approach, integrating pharmacotherapy and physiotherapy for comprehensive care in JIA.
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