FOOT AND ANKLE PROBLEMS IN RHEUMATOID-ARTHRITIS
FOOT AND ANKLE PROBLEMS IN RHEUMATOID-ARTHRITIS
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DOI：
10.1177/107110079401501106
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发表时间：
1994-11-01
影响因子：
2.7
通讯作者：
HELLMANN, D
中科院分区：
文献类型：
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作者：
MICHELSON, J;EASLEY, M;HELLMANN, D
本研究的目的是检查99例临床证实的类风湿性关节炎患者的足和踝关节问题的患病率。从风湿病门诊招募患者;没有尝试根据疾病的严重程度、疾病的持续时间或症状群来选择患者。每例患者均由研究者使用预先设计的方案进行检查，以评估其功能状态、功能能力和整体关节受累情况。99例患者中有93例在诊断为类风湿性关节炎后的某个时间有足或踝关节的主诉。42%的患者踝关节问题最严重，28%的患者前足困难，另外14%的患者踝关节和前足问题相同。只有4名患者接受了涉及足部矫正装置或特殊鞋穿的任何治疗。足和踝关节症状的患病率与全身性疾病的持续时间有关，但在诊断为类风湿性关节炎后的任何时间，都有> 50%的患者出现足和踝关节症状。长期患有类风湿性关节炎的患者足和踝关节症状的患病率很高。与以前的报告不同，本研究发现踝关节和后足症状的患病率很高，而不是前足的投诉。尽管有这一发现，患者很少接受保守的非手术治疗，旨在适应鞋类或手术干预，以有利地改变他们的脚和踝关节力学。
The purpose of this study was to examine the prevalence of foot and ankle problems in 99 patients with clinically proven rheumatoid arthritis. Patients were recruited from outpatient rheumatology clinics; no attempt was made to select patients on the basis of the severity of their disease, duration of disease, or symptom constellation. Each patient was examined by an investigator utilizing a predesigned protocol to assess their functional status, functional capacity, and overall joint involvement. Ninety-three of 99 patients had complaints referable to the foot or ankle at some time since diagnosis of rheumatoid arthritis. Ankle problems were paramount in 42%, forefoot difficulties in 28%, and equal ankle and forefoot problems in another 14%. Only four patients had had any treatment involving foot orthotic devices or special shoe wear. The prevalence of foot and ankle symptoms was related to the duration of systemic illness, but was present in > 50% of patients at any time after diagnosis of rheumatoid arthritis.Patients with longstanding rheumatoid arthritis have a high prevalence of foot and ankle symptoms. Unlike previous reports, the present study found a high prevalence of ankle and hindfoot symptoms, as opposed to forefoot complaints. Despite this finding, the patients had been treated infrequently by either conservative nonoperative management directed at accommodating footwear or surgical intervention to favorably alter their foot and ankle mechanics.