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Rheumatoid Flat Foot and Deformity of the First Ray
MAURICE BOUYSSET, JACQUES TEBIB, ERIC NOEL, THIERRY TAVERNIER, PIERRE MIOSSEC, JEAN-CLAUDE VIANEY, JEAN-PIERRE DUIVON, MICHEL BONNIN, CHANTAL NEMOZ, and JOCELYNE JALBY
ABSTRACT.
Methods. Anteroposterior and lateral weight-bearing radiographs were obtained of 308 feet of patients with RA and 202 feet of patients with neck pain (control feet). Results. In women with RA, we observed with disease duration an increased frequency of flat foot that was correlated with first ray deformity (chiefly metatarsus primus adductus) and severe stages of disability. Flat foot increased very markedly after 3-4 years of disease duration. In control women, flat feet were more frequent after the age of 50 years. Conclusion. In RA the inflammatory and mechanical factors leading to foot deformity must receive early medical treatment to avoid progressive hindfoot deformities that lead to disability. (J Rheumatol 2002;29:903-5) Key Indexing Terms:
FOOT
From the Department of Rheumatology, Hôpital Edouard-Herriot, Lyon; and Department of Rheumatology, Centre Hospitalier Lyon-Sud, Pierre-Bénite, France. M. Bouysset, MD, Hôpital Edouard-Herriot; J. Tébib, MD, Professor, Centre Hospitalier Lyon Sud; E. Noël, MD, Hôpital Edouard Herriot; T. Tavernier, MD, Clinique de la Sauvegarde, Lyon; P. Miossec, MD, Professor, Hôpital Edouard Herriot; J.C. Vianey, MD; J.P. Duivon, MD, Centre de Rhumatologie, Lyon; M. Bonnin, MD, Clinique Sainte Anne Lumière, Lyon; C. Némoz, PhD, Service de Biostatistique et d'Informatique Médicale des Hospices Civils de Lyon; J. Jalby, Villefranche. Address reprint requests to Dr. M. Bouysset, 126 rue Philippe Héron, 69400 Villefranche sur Saone, France. E-mail: scm.rhumatologie-caladoise@wanadoo.fr Submitted February 13, 2001; revision accepted November 2, 2001. |