Shoulder arthroplasty for patients with juvenile idiopathic arthritis.


Autoria(s): Jolles B.M.; Grosso P.; Bogoch E.R.
Data(s)

2007

Resumo

Between 1986 and 1997, 13 shoulders in adult patients who had severe polyarticular juvenile idiopathic arthritis were treated with primary arthroplasty. Eleven shoulders were evaluated retrospectively by an independent observer with a mean follow-up of 9 years. Patient evaluation included pain Visual Analogue Scale, range of motion, Disabilities of the Arm, Shoulder and Hand score, and Short-Form 36. Patients' pain decreased significantly after surgery (mean 6.7). Forward elevation improved on average by 41.1 degrees and external rotation by 39.1 degrees , without evidence of shoulder instability. Final Short-Form 36 scores and Disabilities of the Arm, Shoulder and Hand results (mean, 44.7) were poor, but all patients rated themselves satisfied with the procedure. Shoulder arthroplasty provided pain relief for end-stage shoulder involvement in adult juvenile idiopathic arthritis. Improvement in external rotation in this severely affected group appears to have a beneficial effect on functional outcome.

Identificador

http://serval.unil.ch/?id=serval:BIB_7C404C2EEAA7

isbn:0883-5403

pmid:17826280

doi:10.1016/j.arth.2007.04.031

isiid:000249835900014

Idioma(s)

en

Fonte

The Journal of Arthroplasty, vol. 22, no. 6, pp. 876-883

Palavras-Chave #Adult; Arthritis, Juvenile Rheumatoid/surgery; Arthroplasty/methods; Arthroplasty, Replacement/methods; Child; Female; Follow-Up Studies; Humans; Male; Pain Measurement; Patient Satisfaction; Range of Motion, Articular/physiology; Retrospective Studies; Shoulder Joint/surgery; Treatment Outcome
Tipo

info:eu-repo/semantics/article

article