Progressive Distal Radius Deformity in Juvenile Idiopathic Arthritis: A Case Report.

CASE: We report a case of progressive angular deformity of the left wrist in a 4-year-old girl with a 2-year history of juvenile idiopathic arthritis (JIA)-oligoarthritis subtype (<4 joints affected) with inflammatory extensor tenosynovitis affecting the left wrist, who underwent a left distal radius osteotomy with tricortical allograft for angular correction and functional recovery. Six years postoperatively, the patient demonstrates a near-anatomic left wrist and has recovered full range of motion and function.

CONCLUSION

This case demonstrates how rare clinically devastating angular deformities in JIA may safely and effectively be surgically managed to promote normal, long-term, extremity function.