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Pediatric Radiology
Published in: Pediatric Radiology 6/2018

01-06-2018 | Minisymposium: Juvenile Idiopathic Arthritis

Imaging of the hip in juvenile idiopathic arthritis

Authors: Susan Cheng Shelmerdine, Pier Luigi Di Paolo, Laura Tanturri de Horatio, Clara Malattia, Silvia Magni-Manzoni, Karen Rosendahl

Published in: Pediatric Radiology | Issue 6/2018

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Abstract

Hip involvement is common and estimated to occur in approximately 35–63% of children with juvenile idiopathic arthritis (JIA). It is more prevalent in the aggressive systemic subtypes, with irreversible changes occurring as early as within 5 years of diagnosis. Whilst clinical parameters and joint examination can be useful for assessing disease severity, subclinical disease is known to exist and delayed treatment may herald a lifetime of disability and pain. Early recognition of JIA changes is therefore crucial in determining treatment options. Validated scoring systems in the radiologic assessment of the hip for clinical drug trials may inform treatment outcomes, although robust tools for analysis are still lacking. This review article details the modalities utilised for imaging the hip in children with JIA with particular efforts focused upon reliability and validity in their assessment of joint disease. We conclude with a short literature review on the potential future techniques being developed for hip joint imaging in JIA.
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Metadata
Title
Imaging of the hip in juvenile idiopathic arthritis
Authors
Susan Cheng Shelmerdine
Pier Luigi Di Paolo
Laura Tanturri de Horatio
Clara Malattia
Silvia Magni-Manzoni
Karen Rosendahl
Publication date
01-06-2018
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 6/2018
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-017-4022-7

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