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Imaging of the hip in juvenile idiopathic arthritis

Shelmerdine, SC; Di Paolo, PL; Tanturri de Horatio, L; Malattia, C; Magni-Manzoni, S; Rosendahl, K; (2018) Imaging of the hip in juvenile idiopathic arthritis. Pediatric Radiology , 48 (6) pp. 811-817. 10.1007/s00247-017-4022-7. Green open access

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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.

Type: Article
Title: Imaging of the hip in juvenile idiopathic arthritis
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s00247-017-4022-7
Publisher version: https://doi.org/10.1007/s00247-017-4022-7
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Children, Hip, Juvenile idiopathic arthritis, Magnetic resonance imaging, Radiography, Scoring, Ultrasound, Validity
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
URI: https://discovery.ucl.ac.uk/id/eprint/10063758
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