Download PDF
Handchir Mikrochir Plast Chir 2023; 55(01): 66-69
DOI: 10.1055/a-1716-1697
Der interessante Fall

Arthroscopic Treatment of an Juvenile Idiopathic Arthritis of the Wrist

Arthroskopische Behandlung einer juvenilen idiopathischen Arthritis des Handgelenkes
Cheungsoo Ha
1   Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, South Korea
,
Bon San Koo
2   Department of Internal Medicine, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, South Korea
,
Jinho Lee
3   Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, South Korea
,
Jun-Ku Lee 
3   Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, South Korea
,
Soo-Hong Han 
1   Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, South Korea
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Introduction

Juvenile idiopathic arthritis (JIA) comprises a group of arthritic diseases of various etiologies with onsets before 16 years of age. JIA is the most common chronic rheumatic condition in pediatric patients [1], [2]. The International League of Associations for Rheumatology 2001 classification of JIA includes the following subtypes: systemic-onset arthritis, oligoarthritis, extended oligoarthritis, polyarthritis (rheumatoid factor [RF]-negative), polyarthritis (RF-positive), psoriatic arthritis, enthesitis-related arthritis, and undifferentiated arthritis [3].

The wrist joint is the fourth most commonly affected joint in JIA, followed by the knee, ankle, and elbow joints [1]. Early involvement of the wrist joint has been established as a poor prognostic factor [1], [2], [3]. However, the role of arthroscopy in the JIA wrist is ambiguous.

We experienced a rare case of an adolescent patient with JIA who experienced chronic wrist pain associated with volar intercalated segment instability (VISI) deformity and was treated with arthroscopic synovectomy and temporary K-wire fixation correcting alignment. We herein report the clinical course and outcomes.



Publication History

Article published online:
01 June 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Vermaak PV, Southwood TR, Lindau TR. et al. Wrist Arthroscopy in Juvenile Idiopathic Arthritis: A Review of Current Literature and Future Implications. J Wrist Surg 2018; 7: 186-190
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Prakken B, Albani S, Martini A. Juvenile idiopathic arthritis. The Lancet 2011; 377: 2138-2149
    CrossrefPubMedGoogle Scholar
  • 3 Petty RE, Southwood TR, Manners P. et al. International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol 2004; 31: 390-392
    PubMedGoogle Scholar
  • 4 Maenpaa H, Kuusela P, Lehtinen J. et al. Elbow synovectomy on patients with juvenile rheumatoid arthritis. Clin Orthop Relat Res 2003; DOI: 10.1097/01.blo.0000072463.53786. 65-70
    CrossrefPubMedGoogle Scholar
  • 5 Nwachukwu BU, McFeely ED, Nasreddine AY. et al. Complications of hip arthroscopy in children and adolescents. Journal of pediatric orthopedics 2011; 31: 227-231
    CrossrefPubMedGoogle Scholar
  • 6 Guszczyn T, Sierakowski S, Popko J. Arthroscopic synovectomy of the knee in patients with juvenile idiopathic arthritis (JIA). Ann Rheum Dis 2013; 71: 706-706
    CrossrefPubMedGoogle Scholar
  • 7 Hanff G, Sollerman C, Elborgh R. et al. Wrist synovectomy in juvenile chronic arthritis (JCA). Scandinavian journal of rheumatology 1990; 19: 280-284
    CrossrefPubMedGoogle Scholar
  • 8 Lee HI, Lee KH, Koh KH. et al. Long-term results of arthroscopic wrist synovectomy in rheumatoid arthritis. J Hand Surg Am 2014; 39: 1295-1300
    CrossrefPubMedGoogle Scholar
  • 9 Shim JW, Park MJ. Arthroscopic Synovectomy of Wrist in Rheumatoid Arthritis. Hand Clin 2017; 33: 779-785
    CrossrefPubMedGoogle Scholar
  • 10 Muramatsu K, Ihara K, Tanaka H. et al. Carpal instability in rheumatoid wrists. Rheumatology international 2004; 24: 34-36
    CrossrefPubMedGoogle Scholar