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Revue du rhumatisme
Volume 68, n° 9
pages 874-879 (octobre 2001)
Received : 2 May 2000 ;  accepted : 6 December 2000
Multiples fractures de contrainte chez une jeune fille atteinte d'arthrite chronique juvénile. À propos d'un cas
Multiple stress fractures in a young girl with chronic idiopathic arthritis. Extended case report.

Heikki  Mäenpää 1 * ,  Anneli  Savolainen 2 ,  Matti U.K.  Lehto 1 ,  Eero A.  Belt 1
1Department of Orthopaedics, Rheumatism Foundation Hospital, FIN-18120 Heinola, Finlande 
2Department of Pediatrics, Rheumatism Foundation Hospital, FIN-18120 Heinola, Finlande 

*Correspondance et tirés à part

La survenue de fractures de contrainte chez des patientes atteintes d'une polyarthrite rhumatoïde ancienne est bien connue. Les facteurs favorisant la perte osseuse et la survenue de ces fractures de contrainte, qui peuvent intervenir séparément ou en association, sont multiples incluant l'ostéoporose, la corticothérapie, la raideur articulaire, les contractures, les destructions et déformations articulaires. Nous rapportons ici le cas d'une fillette atteinte d'arthrite chronique juvénile qui développe de multiples fractures de contrainte. Nous discutons les relations entre corticothérapie, immobilisation et fractures.

Mots clés  : corticothérapie ; fracture de contrainte ; immobilisation.


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.

Mots clés  : corticosteroid therapy ; immobilisation ; stress fracture.

© 2001  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.

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