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ID 32099
JaLCDOI
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Author
Miyamoto, Noriyoshi
Hamada, Masanori
Katayama, Yoshimi
Kinosita, Atsushi
Uchida, Kensuke
Inoue, Hajime
Abstract

Rheumatoid arthritis (RA) is often associated with deformities of the feet, and foot pain often arises in the talonavicular joint of patients with RA. The object of this study was to assess the relationship between magnetic resonance imaging (MRI) findings of the talonavicular joint and walking ability. The subjects were 35 RA patients (10 feet in 5 males and 56 feet in 30 females) aged 34-87 years (mean: 70 years +/- 12.1), with a disease duration from 1-54 years (mean: 14 years +/- 12.1). MRI findings were classified as follows: Grade 1, almost normal; Grade 2, early articular destruction; Grade 3, moderate articular destruction; Grade 4, severe articular destruction; and Grade 5, bony ankylosis dislocation. Walking ability was classified into one of 9 categories ranging from normal gait to bedridden status according to the system of Fujibayashi. As the grade of MRI images became higher the walking ability decreased, and these parameters showed a correlation by Spearman's rank correlation coefficient analysis (P = 0.003). Thus, in the present cohort group of patients with RA, the deterioration of walking ability increased with the severity of destruction of the talonavicular joint.

Keywords
?rheumatoid arthritis
magnetic resonance imaging
talonavicular joint
walking ability
Amo Type
Article
Published Date
2004-04
Publication Title
Acta Medica Okayama
Volume
volume58
Issue
issue2
Publisher
Okayama University Medical School
Start Page
85
End Page
90
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT