TY - JOUR
T1 - Talonavicular joint abnormalities and walking ability of patients with rheumatoid arthritis
AU - Miyamoto, Noriyoshi
AU - Senda, Masuo
AU - Hamada, Masanori
AU - Katayama, Yoshimi
AU - Kinosita, Atsushi
AU - Uchida, Kensuke
AU - Inoue, Hajime
PY - 2004/4
Y1 - 2004/4
N2 - 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.
AB - 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.
KW - Magnetic resonance imaging
KW - Rheumatoid arthritis
KW - Talonavicular joint
KW - Walking ability
UR - http://www.scopus.com/inward/record.url?scp=3042642831&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=3042642831&partnerID=8YFLogxK
M3 - Article
C2 - 15255509
AN - SCOPUS:3042642831
VL - 58
SP - 85
EP - 90
JO - Acta Medica Okayama
JF - Acta Medica Okayama
SN - 0386-300X
IS - 2
ER -