Author/Editor		Ključevšek, D; Accetto, M; Kenig, A
Title		Ultrazvočno vodeno vbrizgavanje kortikosteroidov v kolenski sklep pri otrocih z juvenilnim idiopatskim artritisom
Translated title		Ultrasound guided intraarticular application of corticosteroids in the knee joint in children with juvenile idiopatic arthritis
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 12, št. 1
Publication year		2005
Volume		str. 7-12
Language		slo
Abstract		This study examined the safety and efficacy of I.A CS injection in patients with JIA who were treated in Children's Hospital in Ljubljana. This study was conducted on 24 patients with JIA. 36 US guided LA.: of CS were performed from April 2002 to May 2004 in Children's Hospital in Ljubljana. 15 children had one injection of CS, 8 had two and one child had three. Mean age at first application was 11,5 years. Application was technically successful in all procedures. There were no adverse effects. In 23 children (96%) there were clinical improvements of arthritis during first 24 to 72 hours after the procedure. A good response was defined as complete resolution of signs of arthritis during first six months after injection of CS. 17 children (70%) were in this group. US guided LA. application of CS is safe and effective mode in the treatment of chronic arthritis in childhood. LA. applicaton of CS provides marked, rapid relief of pain, allowing mobilization of the stiff joint and correction of deformity.
Summary		Študija ocenjuje varnost in učinkovitost intraartikularne aplikacije (IA) kortkosteroidov (KS) pri bolnikih z juvenilnim idiopatskim artritisom (JIA) zdravljenih na Pediatrični kliniki v Ljubljani. Na Pediatrični kliniki v Ljubljani smo od aprila 2002 do maja 2004 pri 24 otrocih opravili 36 UZ vodenih IA triamcinolon acetonida (Kenaloga) v kolenski sklep. Eno IA je imelo 15 otrok, dve IA 8 otrok, en otrok pa je imel 3 IA. Povprečna starost otrok ob prvi IA je bila 11,5 let. Klinično izboljšanje prizadetega kolena je bilo vidno pri 23 otrocih (96 %) že v prvih 24 do 72 ur od posega. Za dober odgovor na zdravljenje smo šteli, če otrok ni imel znakov aktivnega artritisa v prvih 6 mesecih po posegu. To smo dosegli pri 17 otrocih. UZ vodena IA KS v sklep je varna in učinkovita metoda zdravljenja JIA v otroški dobi. IA KS povzroči znatno in hitro olajšanje bolečin, omogoči večjo gibljivost in zmanjšanje deformacije sklepa. Učinek je dolgotrajen.
Descriptors		ARTHRITIS, JUVENILE RHEUMATOID KNEE JOINT ADRENAL CORTEX HORMONES INJECTIONS, INTRA-ARTICULAR CHILD TREATMENT OUTCOME