Progression von Fußdeformitäten bei rheumatoider Arthritis - Eine radiologische Verlaufsbeobachtung über fünf Jahre

Abstract

In view of the rapid progression of rheumatic foot disorders, there is need not only for a consequent pharmacotherapy but also for strict clinical controls and a disease stage oriented local therapy.

First Ray Resection Arthroplasty versus Arthrodesis in the Treatment of the Rheumatoid Foot

“…24 The increasing limitation in mobility and activities of daily life are often caused by deformities of the rheumatoid foot. 9 A combination of destructive synovitis and disrupted load-bearing of the foot may lead to a range of malfunction related to pain and deformity 1 that appear early in the course of the disease. 2 A symmetrical and generalized affection of the MTP joint is typical for rheumatoid forefoot disease.…”

Die Vorfußrekonstruktion beim Rheumatiker über den dorsalen Zugang

“…Im Unterschied zu den Veränderungen der Metacarpophalangealgelenke (MCP) führen die schlechter sichtbaren Schwellungen am Vorfuß und die initial nur wenig störenden Bewegungseinschrän-kungen oft erst spät zu einer rheumaorthopädischen Vorstellung. Sowohl klinisch als auch radiologisch lassen sich unterschiedliche Stadien der Destruktionen definieren [11]. Zu Beginn der synovialitischen Affektionen bestehen noch gute Knorpelverhältnisse.…”

The long-term results of resection arthroplasties of the first metatarsophalangeal joint in rheumatoid arthritis

“…The metatarsophalangeal (MTP) joints are the most common sites of the disease, which presents with an aggressive synovitis, cartilage damage and joint destruction. Arthritic changes in the first MTP joint occur in more than 50% of these patients [9]. Pain relief, restoration of walking ability and restoration of joint congruency are the primary aims of therapy.…”