X-ray diagnosis of juvenile chronic oligoarthritis
Aleksei N. Kozhevnikov,
Nina A. Pozdeeva,
Mikhail A. Konev,
Olga N. Maricheva,
Konstantin A. Afonichev,
Gennadiy A. Novik https://doi.org/10.20538/1682-0363-2017-3-224-234
Abstract
Juvenile arthritis continues to be a serious diagnostic problem of pediatric rheumatology despite the improvement of clinical, immunological and instrumental methods of examination. Clinical heterogeneity, nonspecificity of instrumental picture and limited application of some examination methods account for the diagnostic difficulties of articular pathology in young children. Chronic oligoarthritis in young children presents a particular challenge due to a frequent vague onset and minimally symptomatic course which can result in a late diagnosis and a high risk of early disability. This paper identifies the problem of diagnosis of childhood arthropathy in relation to its informative value and the practical and clinical significance of basic instrumental methods of chronic arthritis visualization. Special attention is paid to particular roentgenologic features and interpretation of MR images in diagnosis of juvenile olighoarthritis. This article aims at systematizing and expanding the views of pediatricians and rheumatologists on the importance of radiography methods in the diagnosis of joint pathology in children.
About the Authors
Aleksei N. Kozhevnikov
The Turner Scientific and Research Institute for Children’s Orthopedics;
Saint-Petersburg State Pediatric Medical University
Russian Federation
PhD, Рediatric Rheumatologist, Department of Trauma Еffects and Rheumatoid Аrthritis, The Turner Scientific and Research Institute for Children’s Orthopedics; Associate Professor, Рediatric Department n.a. I. M. Voroncov, Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russian Federation.
Russian Federation
PhD, Рediatric Rheumatologist, Department of Trauma Еffects and Rheumatoid Аrthritis, The Turner Scientific and Research Institute for Children’s Orthopedics; Associate Professor, Рediatric Department n.a. I. M. Voroncov, Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russian Federation.
Nina A. Pozdeeva
The Turner Scientific and Research Institute for Children’s Orthopedics
Russian Federation
PhD, Рediatric Rheumatologist, Deputy Сhief Doctor of Мedical Treatment, The Turner Scientific and Research Institute for Children’s Orthopedics; Saint-Petersburg, Russian Federation.
Russian Federation
PhD, Рediatric Rheumatologist, Deputy Сhief Doctor of Мedical Treatment, The Turner Scientific and Research Institute for Children’s Orthopedics; Saint-Petersburg, Russian Federation.
Mikhail A. Konev
The Turner Scientific and Research Institute for Children’s Orthopedics
Russian Federation
Нead of the Department of Trauma Еffects and Rheumatoid Аrthritis, The Turner Scientific and Research Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation
Russian Federation
Нead of the Department of Trauma Еffects and Rheumatoid Аrthritis, The Turner Scientific and Research Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation
Olga N. Maricheva
The Turner Scientific and Research Institute for Children’s Orthopedics
Russian Federation
PhD, Нead of the Department of Radiology Diagnostic, The Turner Scientific and Research Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation.
Russian Federation
PhD, Нead of the Department of Radiology Diagnostic, The Turner Scientific and Research Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation.
Konstantin A. Afonichev
The Turner Scientific and Research Institute for Children’s Orthopedics
Russian Federation
DM, Scientific Сhief of the Department of Trauma Еffects and Rheumatoid Аrthritis, The Turner Scientific and Research Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation.
Russian Federation
DM, Scientific Сhief of the Department of Trauma Еffects and Rheumatoid Аrthritis, The Turner Scientific and Research Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation.
Gennadiy A. Novik
Saint-Petersburg State Pediatric Medical University
Russian Federation
DM, Professor, Сhief of the Рediatric Department n.a. I. M. Voroncov, Saint-Petersburg State Pediatr
Russian Federation
DM, Professor, Сhief of the Рediatric Department n.a. I. M. Voroncov, Saint-Petersburg State Pediatr
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Review
For citations:
Kozhevnikov A.N., Pozdeeva N.A., Konev M.A., Maricheva O.N., Afonichev K.A., Novik G.A. X-ray diagnosis of juvenile chronic oligoarthritis. Bulletin of Siberian Medicine. 2017;16(3):224-234. (In Russ.) https://doi.org/10.20538/1682-0363-2017-3-224-234
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