Radiologic Patterning of Hallux Deformity in Rheumatoid Arthritis and Its Relationship to Flatfoot

Matsumoto, Takumi; Nakada, Izumi; Juji, Takuo; Nakamura, Ichiro; Ito, Katsuhiko

doi:10.1053/j.jfas.2016.04.011

Cited by 8 publications

(3 citation statements)

References 33 publications

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“…The three major hallux deformities in patients with RA are hallux valgus, hallux rigidus, and IP hyperextension, according to the observation of 200 consecutive patients with RA by Kirkup et al [ 4 ]. Among these deformities, hallux rigidus and IP hyperextension are closely related [ 4 , 5 ]. Kirkup et al reported that half of the cases with hallux rigidus were accompanied by IP hyperextension and considered IP hyperextension as a compensatory change for the limited dorsiflexion caused by hallux rigidus [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Kirkup et al reported that half of the cases with hallux rigidus were accompanied by IP hyperextension and considered IP hyperextension as a compensatory change for the limited dorsiflexion caused by hallux rigidus [ 4 ]. Another study classifying the hallux deformities of 527 RA feet into five clusters demonstrated that the boutonniere deformity, characterized by an elevated first metatarsal, plantar displacement of the proximal phalanx, and IP hyperextension, was correlated with a decreased longitudinal arch [ 5 ]. The study also demonstrated that the plantar displacement of the proximal phalanx was significantly correlated with decreased dorsiflexion in the MTP joint and speculated that the boutonniere deformity was a result of compensatory hyperextension at the IP joint for the limited dorsiflexion at the MTP joint [ 5 ], which can be explained by the reverse windlass mechanism in the flatfoot proposed by Hicks [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

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Joint-Preserving Surgery for Hyperextension Deformity of the Hallux Interphalangeal Joint in a Patient with Rheumatoid Arthritis

Matsumoto

Shimizu

Chang

et al. 2020

Case Reports in Orthopedics

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Interphalangeal hyperextension is one of the major hallux deformities in patients with rheumatoid arthritis; however, there is yet no established surgical method for this deformity. We here present the case of a 69-year-old female patient with rheumatoid arthritis who developed hallux interphalangeal hyperextension and painful callosity on the plantar hallux accompanied by limited dorsiflexion at the metatarsophalangeal joint. Lateral weight-bearing radiograph of the foot revealed misalignment of the medial column and hallux, including a collapsed medial arch, elevated first metatarsal, plantar flexion and deviation of the proximal phalanx, and hyperextension of the distal phalanx. The foot was successfully treated and became symptom-free with opening wedge osteotomy of the medial cuneiform, plantar and proximal translation of the metatarsal head, and tenotomy of the extensor hallucis longus. This case suggests that reconstruction of the sagittal alignment of the medial column and hallux through a combination of osteotomy and soft tissue intervention could be an optional treatment for interphalangeal hyperextension.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Joint-Preserving Surgery for Hyperextension Deformity of the Hallux Interphalangeal Joint in a Patient with Rheumatoid Arthritis

Matsumoto

Shimizu

Chang

et al. 2020

Case Reports in Orthopedics

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“…Although RA affects every joint in the body, it is most commonly involved in the hand (15.7%) and foot (14.7%) joints [6]. The first problems that come to mind in RA are in the hands and wrists, but 90% of long-term RA patients also have foot problems [7]. The first symptoms in 16-36% of RA patients begin in the foot area [8].…”

Section: Introductionmentioning

confidence: 99%

Romatoid Artrit'li Bireylerde Ayak/Ayak Bileği ile İlgili Fonksiyonel Durumun İncelenmesi

Kabul

BOZCUK

Kuru

et al. 2023

Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi

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Objective=The aim of this study was to examine the functional limitations of foot/ankle in terms of age in individuals with Rheumatoid Arthritis (RA). Material-Method=Forty individuals diagnosed with RA were included in the study. Individuals with RA were divided into two groups (under 65 years old (n:24) and 65 years old and over (n:16)).Functional status of foot/ankle were evaluated with Foot and Ankle Outcome Score (FAOS), general health status with Visual Analogue Scale (VAS), and disability level with Health Assessment Questionnaire (HAQ). FAOS consists of five subtests: pain, other symptoms, activities of daily living, sport and recreational function, and foot/ankle related quality of life. Relationships between continuous variables were evaluated with Pearson Correlation Analysis. Results=HAQ had low to moderate correlation with FAOS_pain (r:-0.435), FAOS_activities of daily living (r:-0.647), FAOS_sport and recreational function (r:-0.495) and FAOS_total (r:-0.582) in RA with under 65 years old while HAQ had moderate to high correlation with FAOS_other symptoms (r:-0.579), FAOS_pain (r:-0.702), FAOS_activities of daily living (r:-0.868), FAOS_sport and recreational function (r:-0.683) and FAOS_total (r:-0.806) (p<0.05) in RA with 65 years old and over. In addition, VAS had moderate correlation with FAOS_pain (r:-0.517), FAOS_activities of daily living (r:-0.590), FAOS_sport and recreational function (r:-0.550) and FAOS_total (r:-0.587) in RA with 65 years old and over (p<0.05). Conclusion=Although functional limitations related to foot/ankle affect disability levels of RA of all ages, this effect is greater for RA aged 65 and over.In addition, functional limitations related to foot/ankle cause a worse perception of general health status of RA patients aged 65 and over.

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Correction of foot deformities with hallux valgus by transversal arch restoration

Dygut¹,

Piwowar

Detyna

et al. 2020

Biocybernetics and Biomedical Engineering

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Radiologic Patterning of Hallux Deformity in Rheumatoid Arthritis and Its Relationship to Flatfoot

Cited by 8 publications

References 33 publications

Joint-Preserving Surgery for Hyperextension Deformity of the Hallux Interphalangeal Joint in a Patient with Rheumatoid Arthritis

Joint-Preserving Surgery for Hyperextension Deformity of the Hallux Interphalangeal Joint in a Patient with Rheumatoid Arthritis

Romatoid Artrit'li Bireylerde Ayak/Ayak Bileği ile İlgili Fonksiyonel Durumun İncelenmesi

Correction of foot deformities with hallux valgus by transversal arch restoration

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