Orthopedic complications of linear morphea: Implications for early interdisciplinary care

Jennifer J. Schoch, Bradley S. Schoch, Jean David Werthel, Amy L McIntosh, Dawn M.R. Davis

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations

Abstract

Linear morphea of the limb primarily affects children, and extracutaneous manifestations are common. Orthopedic surgeons are often essential in the care of patients with linear morphea, yet there are few reports outlining specific orthopedic complications in this population. We sought to improve the understanding of orthopedic complications in linear morphea of the limb. Between 1999 and 2014, 51 children were evaluated for linear morphea of an extremity. Twenty-six (51%) had documented orthopedic manifestations. Outcome measures included limb length discrepancy, angular malalignment, limb atrophy, and orthopedic surgical intervention. Joint contractures were most common, affecting 88% of patients, followed by limb atrophy, angular deformity, and limb length discrepancy; 14% required surgical intervention. Despite the use of systemic immunosuppressive therapy in many patients, approximately half of patients with linear morphea of an extremity have orthopedic disease. Early orthopedist involvement is crucial to improve limb alignment and preserve function.

Original languageEnglish (US)
Pages (from-to)43-46
Number of pages4
JournalPediatric Dermatology
Volume35
Issue number1
DOIs
StatePublished - Jan 1 2018

Keywords

  • linear morphea
  • localized scleroderma
  • orthopedic complications

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Dermatology

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