Romatoid Artritte Görülen Ayak Deformiteleri
Yükleniyor...
Dosyalar
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
Attribution 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Bu çalışmada, RA’li hastalarda görülen ayak deformiteleri, görülme sıklığı ve bunların hastalık süresi, fonksiyonel aktivite ve hastalık aktivitesi ile olan ilişkisini saptamayı amaçladık. Gereç ve Yöntem: Çalışma RA’li 30 kişilik hasta grubu ile yaş ve cinsiyet bakımından uygun 30 kişilik kontrol grubu ile yapıldı. Her iki grubun yük verdirilerek çekilen ön arka ve yan ayak grafileri değerlendirildi. Pes planus, pes kavus ve halluks valgus radyolojik olarak değerlendirilirken spesifik açılar ( talometatarsal açı, halluks valgus açısı) kullanıldı. Bulgular: Hastaların %60’ında pes planus, %50’sinde halluks valgus, %30’unda metatarsofalangial (MTF) eklemlerde subluksasyon, %20’sinde çekiç parmak, %16’sında pençe parmak ve %6,7’sinde pes kavus deformiteleri tespit edildi. Pes kavus dışında tüm deformiteler hasta grubunda kontrol grubuna göre kıyasla anlamlı derecede yüksekti (p<0.05). Halluks valgus ile pes planus deformiteleri arasında anlamlı bir ilişki saptandı (p<0.05, r= r=0.408). Hastaların yaşı ile deformite sıklığı arasında anlamlı bir ilişki vardı (p<0.05, r=0.423). Deformite sıklığı ile fonksiyonel evre arasında anlamlı bir ilişki saptandı (p<0.05, r=0.412). Fakat, deformite sıklığı ile hastalık süresi ve hastalık aktivasyonu (CRP ve ESR) arasında anlamlı bir ilişki saptanmadı (p>0.05). Sonuç: RA’de çeşitli ayak deformiteleri görülmekte olup, bunların bir kısmı tedavi edilebilir niteliktedir. RA’lı hastaların ayaklarının periyodik kontrolü, deformitelerin erken tanısı ve uygun tedavi stratejilerinin belirlenmesi açısından oldukça önemlidir.
In this study we aimed to investigate the type and incidence of foot deformities in rheumatoid arthritis (RA) patients. We also investigated the relationship between these deformities and functional activity and disease activity in these patients. Material and Methods: The patient group included 30 patients with RA and the control group included 30 healthy subjects. In each group anterior and lateral weigth bearing foot radiographs were obtained. The radiographs were evaluated for pes planus, pes cavus and hallux valgus by measuring specific angles (talometatarsal angle, hallux valgus angle). Metetarsophalangeal (MTP) subluxation, hammer toe, claw toe were also evaluated. Results: The frequency of pes planus, hallux valgus, MTP subluxation, hammer toe, claw toe were 60%, 50%, 30%, 20%, 16%, and 6.7%, respectively. All these deformities were significantly higher in the patient group excluding, pes cavus (p<0.05). There was a significant correlation between hallux valgus and pes planus deformities (p<0.05, r=0.408). The age of the patients were correlated with the frequency of deformities (p<0.05, r=0.423). The frequency of the deformities were in correlation with the functioanal stage (p<0.05, r=0.412), but not with the disease activity (CRP and ESR) and duration of the disease (p>0.05). Conclusion: It is concluded that foot deformities are frequently encountered in RA, whilst some of these deformities preventable. Periodic foot examination has an important role in the early diagnosis and in the determination of appropriate treatement strategies in foot deformities of RA patients.
In this study we aimed to investigate the type and incidence of foot deformities in rheumatoid arthritis (RA) patients. We also investigated the relationship between these deformities and functional activity and disease activity in these patients. Material and Methods: The patient group included 30 patients with RA and the control group included 30 healthy subjects. In each group anterior and lateral weigth bearing foot radiographs were obtained. The radiographs were evaluated for pes planus, pes cavus and hallux valgus by measuring specific angles (talometatarsal angle, hallux valgus angle). Metetarsophalangeal (MTP) subluxation, hammer toe, claw toe were also evaluated. Results: The frequency of pes planus, hallux valgus, MTP subluxation, hammer toe, claw toe were 60%, 50%, 30%, 20%, 16%, and 6.7%, respectively. All these deformities were significantly higher in the patient group excluding, pes cavus (p<0.05). There was a significant correlation between hallux valgus and pes planus deformities (p<0.05, r=0.408). The age of the patients were correlated with the frequency of deformities (p<0.05, r=0.423). The frequency of the deformities were in correlation with the functioanal stage (p<0.05, r=0.412), but not with the disease activity (CRP and ESR) and duration of the disease (p>0.05). Conclusion: It is concluded that foot deformities are frequently encountered in RA, whilst some of these deformities preventable. Periodic foot examination has an important role in the early diagnosis and in the determination of appropriate treatement strategies in foot deformities of RA patients.
Açıklama
İnönü Üniversitesi Tıp Fakültesi Dergisi
11(3) 173-176 (2004)
Anahtar Kelimeler
Romatoid artrit, Ayak, Ayak deformitesi, Rheumatoid arthritis, Foot, Foot deformity
Kaynak
İnönü Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
11
Sayı
3
Künye
Baysal, Özlem ;Baysal, Tamer ;Altay, Zühal ;Aykol, Gülsen ;İnönü Üniversitesi Tıp Fakültesi Dergisi 11(3) 173-176 (2004)
