title: Multiple stress fractures in a young girl with chronic idiopathic arthritis. Extended case report.
abstract: The occurrence of stress fractures in patients with long-standing rheumatoid arthritis (RA) is widely known. Osteoporosis, corticosteroid therapy, joint stiffness, contracture, angular deformity of the joint and failed joint reconstruction--all together or separately--predispose to bone loss and stress fractures. In the present report we describe the history of a girl with juvenile idiopathic arthritis (JIA) having multiple stress fractures. The relationship between corticosteroid therapy and immobilisation in the treatment of fractures is discussed.
authors.affiliation: Department of Orthopaedics, Rheumatism Foundation Hospital, Heinola, Finland. heikki.maenpaa@scanpoint.fi
authors.forename: H
authors.initials: H
authors.lastname: Mäenpää
authors.forename: A
authors.initials: A
authors.lastname: Savolainen
authors.forename: M U
authors.initials: MU
authors.lastname: Lehto
authors.forename: E A
authors.initials: EA
authors.lastname: Belt
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D001171:Arthritis, Juvenile / Q000150:complications* / Q000175:diagnosis*; D002111:Calcaneus / Q000293:injuries / Q000473:pathology; D002370:Casts, Surgical; D002648:Child; D003131:Combined Modality Therapy; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000628:therapy; D005500:Follow-Up Studies; D015775:Fractures, Stress / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D011859:Radiography; D012008:Recurrence; D018570:Risk Assessment; D012447:Sacrum / Q000293:injuries / Q000473:pathology; D013997:Time Factors
chemical_list: D000305:Adrenal Cortex Hormones