{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:58:58Z","timestamp":1780469938684,"version":"3.54.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T00:00:00Z","timestamp":1510185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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\u2010six (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.<\/jats:p>","DOI":"10.1111\/pde.13336","type":"journal-article","created":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T06:58:49Z","timestamp":1510210729000},"page":"43-46","source":"Crossref","is-referenced-by-count":25,"title":["Orthopedic complications of linear morphea: Implications for early interdisciplinary care"],"prefix":"10.1111","volume":"35","author":[{"given":"Jennifer J.","family":"Schoch","sequence":"first","affiliation":[{"name":"Department of Dermatology University of Florida Gainesville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley S.","family":"Schoch","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery University of Florida Gainesville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean David","family":"Werthel","sequence":"additional","affiliation":[{"name":"Hospital Ambroise Pare Boulogne\u2010Billancourt France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy\u00a0L.","family":"McIntosh","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Texas Scottish Rite Hospital Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6819-6044","authenticated-orcid":false,"given":"Dawn M. R.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Dermatology Mayo Clinic Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bor.0000245727.40630.c3"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.12758"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2008.05.005"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199311000-00020"},{"key":"e_1_2_5_6_1","first-page":"171","article-title":"Localized scleroderma in adults and children: clinical and laboratory investigations on 239 cases","volume":"13","author":"Marzano AV","year":"2003","journal-title":"Eur J Dermatol"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.13514"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2006.07497.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.12606"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31803433a1"},{"key":"e_1_2_5_11_1","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/MOP.0b013e32834231b3","article-title":"Surgical epiphysiodesis indications and techniques: update","volume":"23","author":"Ghanem I","year":"2011","journal-title":"Curr Opin Pediatr"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.12169"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.30264"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2012.03.036"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e3283641f61"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.2174\/18743129014090100030"},{"key":"e_1_2_5_17_1","first-page":"340","article-title":"Ultrasound monitoring of childhood linear morphea","volume":"106","author":"Perez\u2010Lopez I","year":"2015","journal-title":"Actas Dermosifiliogr"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpde.13336","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.13336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T01:54:50Z","timestamp":1695866090000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.13336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,9]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1111\/pde.13336"],"URL":"https:\/\/doi.org\/10.1111\/pde.13336","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,9]]}}}