scholarly journals Surgical Management of Monoarticular Rheumatoid Arthritis of the Fifth Metatarsophalangeal Joint

2020 ◽  
Vol 12 (6) ◽  
pp. 1597-1604
Author(s):  
Hamood H G Zaid ◽  
Wu Di ◽  
Rufei Yang ◽  
Di Wu ◽  
Maowei Yang
Keyword(s):  
Rheumatoid Arthritis ◽  
Surgical Management ◽  
Metatarsophalangeal Joint

scholarly journals A Novel Radiographic Measurement Method for the Evaluation of Metatarsophalangeal Joint Dislocation of the Lesser Toe in Patients with Rheumatoid Arthritis

2021 ◽  
Vol 18 (14) ◽  
pp. 7520
Author(s):  
Hideki Ohashi ◽  
Keiichiro Nishida ◽  
Yoshihisa Nasu ◽  
Kenta Saiga ◽  
Ryuichi Nakahara ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Roc Analysis ◽  
Metatarsophalangeal Joint ◽  
Metatarsal Head ◽  
Radiographic Measurement ◽  
Joint Dislocation ◽  
Severity Grading ◽  
Grade 3 ◽  
The Relationship ◽  
Mtp Joints

Dorsal dislocation of metatarsophalangeal (MTP) joints of the lesser toe frequently occurs in patients with rheumatoid arthritis (RA), and may cause painful and uncomfortable plantar callosities and ulceration. The current study examined the reliability and clinical relevance of a novel radiographic parameter (the MTP overlap distance [MOD]) in evaluating the severity of MTP joint dislocation. The subjects of the current study were 147 RA patients (276 feet; 1104 toes). MOD, defined as the overlap distance of the metatarsal head and the proximal end of the phalanx, was measured on plain radiographs. The relationship between the MOD and clinical complaints (forefoot pain and/or callosity formation) was analyzed to create a severity grading system. As a result, toes with callosities had a significantly larger MOD. ROC analysis revealed that the MOD had a high AUC for predicting an asymptomatic foot (−0.70) and callosities (0.89). MOD grades were defined as follows: grade 1, 0 ≤ MOD < 5 mm; grade 2, 5 ≤ MOD < 10 mm; and grade 3, MOD ≥ 10 mm. The intra- and inter-observer reliability of the MOD grade had high reproducibility. Furthermore, the MOD and MOD grade improved significantly after joint-preserving surgeries for lesser toe deformities. Our results suggest that MOD and MOD grade might be useful tools for the evaluation of deformities of the lesser toe and the effect of surgical intervention for MTP joints in patients with RA.

Rheumatoid Arthritis: Are Outcomes Better With Medical or Surgical Management?

Orthopedics ◽  
1998 ◽  
Vol 21 (10) ◽  
pp. 1085-1086
Author(s):  
Jose de la Mata Llord ◽  
Jose Palacios Carvajal
Keyword(s):  
Rheumatoid Arthritis ◽  
Surgical Management

scholarly journals Significance of arthrosonography in the diagnosis of metatarsophalangeal joint injury in patients with rheumatoid arthritis

2013 ◽  
Vol 0 (3) ◽  
pp. 255
Author(s):  
Rita Aleksandrovna Osipyants ◽  
D E Karateev ◽  
E Yu Panasyuk ◽  
G V Lukina ◽  
A V Smirnov ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Metatarsophalangeal Joint ◽  
Joint Injury

Forefoot Surgery in Rheumatoid Arthritis: Subjective Assessment of Outcome

Foot & Ankle ◽  
1987 ◽  
Vol 8 (3) ◽  
pp. 148-151 ◽  
Author(s):  
Lael G. Hasselo ◽  
Robert F. Willkens ◽  
Hugh E. Toomey ◽  
David E. Karges ◽  
Sigvard T. Hansen
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Severity ◽  
Metatarsophalangeal Joint ◽  
Severity Index ◽  
Subjective Assessment ◽  
Subjective Data ◽  
First Metatarsophalangeal Joint ◽  
Forefoot Surgery ◽  
First Ray ◽  
Better Than

Forefoot surgical outcomes were evaluated in 26 patients with rheumatoid arthritis. A total of 45 procedures were reviewed with emphasis on first ray intervention. Disease duration and aggressiveness of preceding medical therapy were combined to establish a disease severity index. Patients operated were predominantly in the midrange of disease severity. Subjective data on the relief of pain, callus, and deformity were favorable but this benefit was not long lasting inasmuch as patients were most satisfied in the period immediately following surgery and less so as time elapsed from intervention. Fusion of the first metatarsophalangeal joint seemed better than resection alone, indicating that stability should be the primary goal for surgical intervention of the rheumatoid forefoot.

The Wrightington Classification of Rheumatoid Wrist X-Rays: A Guide to Surgical Management

1989 ◽  
Vol 14 (4) ◽  
pp. 451-455
Author(s):  
S. P. HODGSON ◽  
J. K. STANLEY ◽  
A. MUIRHEAD
Keyword(s):  
Rheumatoid Arthritis ◽  
Surgical Management ◽  
X Rays ◽  
Rheumatoid Disease ◽  
Rheumatoid Wrist ◽  
Practical Guidance ◽  
Surgical Choices ◽  
Results Of Surgery

We have reviewed the pre-operative radiological appearances, the type of operation performed and the results of surgery of 234 wrists in 179 patients with rheumatoid arthritis. Based on this, a classification of X-rays of the rheumatoid wrist is described. It is designed to provide practical guidance to the surgeon who is planning surgery in a patient with rheumatoid disease. The surgical choices at each stage of the disease are briefly discussed.

The double-stemmed silicone-rubber implant for rheumatoid arthritis of the first metatarsophalangeal joint. Long-term results.

1992 ◽  
Vol 74 (4) ◽  
pp. 564-570 ◽  
Author(s):  
B H Moeckel ◽  
T P Sculco ◽  
M M Alexiades ◽  
P H Dossick ◽  
A E Inglis ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Silicone Rubber ◽  
Metatarsophalangeal Joint ◽  
Long Term Results ◽  
First Metatarsophalangeal Joint

Chapter 10 Surgical management of rheumatoid arthritis: the upper limb

2010 ◽  
Author(s):  
Ian McNab ◽  
Chris Little
Keyword(s):  
Rheumatoid Arthritis ◽  
Surgical Management ◽  
Upper Limb

Chapter 9 Surgical management of rheumatoid arthritis: introduction and spinal involvement

2010 ◽  
Author(s):  
Tom Cadoux-Hudson ◽  
Hemant Pandit ◽  
Ian McNab ◽  
Raashid Luqmani
Keyword(s):  
Rheumatoid Arthritis ◽  
Surgical Management ◽  
Spinal Involvement
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