Rheumatoid arthritis occurring in children under 16 years of age is defined as juvenile
rheumatoid arthritis. It is more common in females and the peak incidence is between 1 and
3 years of age. It can present in different forms. Mono- and pauciarticular type is
complicated by iridocyclitis in 20%. Growth disturbances are common. Any conceivable
combination of foot deformities can occur. Some of the secondary deformities can be
prevented with conservative care. Principals of soft tissue and bony surgery have been
outlined.
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