Talonavicular joint abnormalities and walking ability of patients with rheumatoid arthritis

Noriyoshi Miyamoto, Masuo Senda, Masanori Hamada, Yoshimi Katayama, Atsushi Kinosita, Kensuke Uchida, Hajime Inoue

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8 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)85-90
Number of pages6
JournalActa medica Okayama
Volume58
Issue number2
Publication statusPublished - Apr 1 2004

Keywords

  • Magnetic resonance imaging
  • Rheumatoid arthritis
  • Talonavicular joint
  • Walking ability

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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    Miyamoto, N., Senda, M., Hamada, M., Katayama, Y., Kinosita, A., Uchida, K., & Inoue, H. (2004). Talonavicular joint abnormalities and walking ability of patients with rheumatoid arthritis. Acta medica Okayama, 58(2), 85-90.