title: Soft-tissue release of the hips in children with juvenile chronic arthritis.
abstract: In juvenile chronic arthritis the hips are commonly affected and this becomes the most important reason for losing independence and mobility: the joint develops a painful flexion contracture with marked loss of movement. Soft-tissue release operations consisting of psoas and adductor tenotomies have proved a safe and effective method of relieving pain and improving function. We report 89 such operations in 52 patients. More extensive soft-tissue release operations or synovectomy of the hips offer no advantage and recovery is often more painful and prolonged.
mesh_terms: D000293:Adolescent; D001171:Arthritis, Juvenile / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000209:etiology* / Q000601:surgery; D005260:Female; D005684:Gait; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008124:Locomotion; D008297:Male; D009068:Movement; D010146:Pain; D011859:Radiography