Posterior Tibial Tendon and Spring Ligament Lesions in Rheumatoid Arthritis (notice n° 746701)
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| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123093015.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Bouysset, M. |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Posterior Tibial Tendon and Spring Ligament Lesions in Rheumatoid Arthritis |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2019.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 20 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | In rheumatoid arthritis, a significant number of patients have hindfoot pain while they are considered in low disease activity. Then the rheumatoid hindfoot may evolve in valgus flat foot with disability. The aim of our study was to observe the lesions of the main stabilizers of the hindfoot in rheumatoid arthritis to improve the follow-up and the treatment of the disease. Thirty-three feet (from 21 patients) with rheumatoid arthritis and pain of the hindfoot were consecutively observed. The patients have had no biologic treatment. Every foot had Magnetic Resonance Imaging (MRI) of the hindfoot with gadolinium injection. The tendon of the tibialis posterior muscle, the spring ligament and the inter-osseous talocalcaneal ligament were considered. All the feet presented tenosynovitis of the posterior tibial tendon. Structural lesions of the posterior tibial tendon (23/33 feet, 69.7%) were more frequent than lesions of the spring ligament (12/33 feet, 36.4%). There was no inferior spring ligament lesion without superior spring ligament lesion. No interosseous talocalcaneal ligament lesion was observed. In rheumatoid arthritis, the hindfoot, and particularly the posterior tibial tendon, should be evaluated during patient follow-up to detect a possible lesion. Posterior tibial tendon lesion arises at the same time as the spring ligament lesion, before interosseous talocalcaneal ligament lesion. Imaging, especially MRI, may complete clinical examination. If rheumatoid involvement of the posterior tibial tendon is observed, treatment intensification is required. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Dans la polyarthrite rhumatoïde, un nombre significatif de patients présente des douleurs de l'arrière-pied, alors que le niveau d'activité inflammatoire paraît contrôlé. Dans les suites, l'arrière-pied rhumatoïde peut évoluer en pied plat valgus invalidant. Le but de l'étude est d'observer les lésions des principaux stabilisateurs de l'arrière-pied dans la polyarthrite rhumatoïde pour améliorer le suivi et le traitement de la maladie. Trente-trois pieds (21 patients) avec polyarthrite rhumatoïde et douleurs de l'arrière-pied sont consécutivement observés. Les patients n'ont pas eu de biothérapie. Chaque pied a subi une IRM de l'arrière-pied avec injection de gadolinium. Les tendons du muscle tibial postérieur, le spring ligament et le ligament interosseux talocalcanéen ont été observés. Tous les pieds présentent une ténosynovite du tendon du tibial postérieur. Les lésions structurales du tendon du tibial postérieur (23/33 pieds, 69,7 %) sont plus fréquentes que les lésions du spring ligament (12/33 pieds, 36,4 %). Il n'y a pas de lésions du spring ligament inférieur sans lésion du spring ligament supérieur. Aucune lésion du ligament interosseux talocalcanéen n'est observée. Dans la polyarthrite rhumatoïde, l'arrière-pied, et particulièrement le tendon du tibial postérieur, devrait être évalué lors du suivi pour rechercher une lésion. La lésion du tendon du tibial postérieur survient en même temps que la lésion du spring ligament avant atteinte du ligament talocalcanéen interosseux. L'imagerie, notamment l'IRM, peut compléter l'examen clinique. Si l'atteinte du tendon du tibial postérieur est observée dans la polyarthrite rhumatoïde, une amélioration du traitement est requise. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Pied |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Polyarthrite rhumatoïde |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Ligament tibial postérieur |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Ligament interosseux talocalcanéen |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Foot |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Posterior tibial tendon |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Spring ligament |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Interosseous talocalcaneal ligament |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Rheumatoid arthritis |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Tavernier, T. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Decullier, E. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Confavreux, C. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Tebib, J. G. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Coury, Fabienne |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Médecine et chirurgie du pied | 35 | 4 | 2019-10-09 | p. 65-69 | 0759-2280 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-medecine-et-chirurgie-du-pied-2019-4-page-65?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-medecine-et-chirurgie-du-pied-2019-4-page-65?lang=en&redirect-ssocas=7080</a> |
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