Swann M
Clin Orthop Relat Res. 1987 Jun(219):38-49.
Juvenile chronic arthritis is a heterogenous group of diseases in which the common denominator is a persistent arthritis in one or more joints commencing before the age of 16 and lasting three months or more. The care of these patients by a pediatric rheumatologist, an orthopedic surgeon, and a full rehabilitation team must be combined to afford the best treatment. Medication, splintage, and physiotherapy are useful in helping to suppress and reduce the effects of the disease, but in some patients arthritis attacks in acute episodes, while in others arthritis chronically and relentlessly pursues its destructive course. Surgical treatment, particularly of the soft parts, has a considerable part to play in correcting deformity, maintaining movement, and relieving pain. Timely surgical treatment may also serve to prevent deformity and to maintain function as well as muscle strength so that by the time the child becomes an adult he can lead a normal life. The plan of treatment is thus long range.
青少年慢性关节炎是一组异质性疾病，其共同特征是在16岁之前开始于一个或多个关节的持续性关节炎，持续三个月或更长时间。儿科风湿病学家、整形外科医生和完整的康复团队必须共同为这些患者提供护理，以实现最佳治疗效果。药物治疗、夹板固定和物理治疗有助于抑制和减轻疾病的影响，但在一些患者中，关节炎会急性发作，而在另一些患者中，关节炎会持续且无情地发展其破坏性病程。手术治疗，特别是对软组织的治疗，在矫正畸形、保持活动能力和缓解疼痛方面发挥着重要作用。及时的手术治疗还可以预防畸形并维持功能以及肌肉力量，以便孩子成年后能够过上正常生活。因此，治疗计划是长期的。
