Summary
Three hundred and eight unselected rheumatoid feet underwent a weight — bearing X-ray examination. If the malformations of the forefoot studied here present a statistical association, the primus metatarsus adductus is closely connected with tarsal arthritis and flattened foot but does not depend on the duration of the disease. The spread forefoot is indeed related to the duration of the disease and the presence of a metatarsal erosion at the foot level, but is not affected by the lesions of the midfoot. It appears then that an early orthopaedic treatment should be prescribed, once the first signs of involvement of the first ray or pronounced pronation of the hindfoot are noticed; it must affect the hindfoot, the midfoot and the first ray which progress together.
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Allieu, Y., Claustre, J. Pied rhumatoïde: mécanisme des lésions in “le pied en pratique rhumatologique”, pathologie articulaire monographies de podologie no 3. Masson Ed. Paris 1983, 24–27.
Bonnel, F., Farenc, C., Claustre, J., Julian, J.M., Peruchon, E. Etude biométrique et radiographique du pied, Med Chir Pied, 1989, 5, 3, 105–111.
Bouysset, M., Bonvoisin, B., Lejeune, E., Bouvier, M. Flattening of rheumatoid foot in tarsal arthritis on X-ray, Scand J Rheumatol 1987, 16, 127–133.
Bouysset, M., Tebib, J.G., Weil, G., Lejeune, E., Bouvier, M. Deformation of the adult rheumatoid rearfoot. A radiographic study. Clin Rheumatol 1987, 6, 4, 539–544.
Calabro, J.J. A critical evaluation of the diagnostic features of the feet in rheumatoid arthritis. Arthritis Rheum 1962, 5, 19–29.
Glough, J.G., Marsahall, H. The etiology of hallux abducto-valgus. J Am Podiatry Assoc, 1985, 75, 5, 238–243.
De Doncker, E., Kowalski, G. Cinésiologie et rééducation du pied. 1979, Masson Editeur, p. 13.
Djian, A., Annonier, Cl., Denis, A., Baudoin, L. “Radiopodométrie”, J Radiol Electrol 1968, 49, 769–772.
Grumbine, N.A., Vanenoo, R.E., Santoro, J.P. Peroneal tendon balance procedure, J Am Podiatry Assoc 79, 1989, Number 1, p. 15.
Hicks, J.H. The mechanics of the foot. I: The joints. Anat 87, 1953, 345–357.
Kirkup, J.R., Vidigal, E., Richard, Jacoby, R.K. The hallux and rheumatoid arthritis. Acta Orthop Scand 1977, 48, 527–54.
Kelso, S.F., Richie, D., Cohen, I.R., Weed, J.H., Root, M. Direction and range of motion of the first ray, J Am Podiatry Assoc, 1982, 72, 12, 600–605.
MacCarthy, D.J. Surgical anatomy of the first ray. J Am Podiatry Assoc, 1983, 73, 5, 244–255.
MacCarthy, D.J., Saunders, M.M., Herzberg, A.J. The surgical anatomy of the rearfoot, Part II: The lesser tarsus, 1984, 74, 1, 1–12.
Oldenbrook, L.L., Smith, C.E. Metatarsal head motion secondary to rearfoot pronation and supination, J Am Podiatry Assoc, 1979, 69, 24.
Sgarlato, T.E. A Compendium of Podiatric Biomechanics, California, College of Podiatric Medicine, San Francisco, 1971.
Sharp, J.T., Wilder, R.R., Hunder, R.L. The American Rheumatism Association 1989. Criteria for the classification of rheumatoid arthritis. Arthritis Rheum, 1988, 31, 315–324.
Steinbrocker, I., Traeger, Ch., Batterman, R.C. Therapeutic criteria in rheumatoid arthritis. JAMA, 1949, 140, 659.
Spiegel, T.S., Spiegel, S.S. Rheumatoid arthritis in the foot and ankle. Diagnosis, pathology and treatment. Foot and ankle, 1982, 2, 6, 318–324.
Thould, A.K., Simon, G. Assessment of radiological changes in the hands and feet in rheumatoid arthritis. Ann Rheum Dis 1966, 25, 220–228.
Tillmann, K. The rheumatoid foot. Gears Thieme Ed. Stuttgart 1979, 44–56.
Tillmann, K. Reconstructive foot surgery. Ann Chir Gynaecol 1985, 74, Suppl 198, 90–95.
Vainio, K. The rheumatoid foot: a clinical study with pathological and roentogenological comments. Ann Chir Gynaecol, 1956, 45, Suppl. I, 7, 19–34.
Vannimenus, P.Y., Vannimenus-Hayem, C., Thevenon, A., Etude radiographique du pied rhumatoïde et comparaison avec l'étude de la main, Med Chir Pied 1987, 3, 197–202.
Vidigal, E., Jacoby, R.K., Dixon, A.S., Ratliff, A.H., Kirkup, J. The foot in chronic rheumatoid arthritis. Ann Rheum Dis 1975, 34, 292–297.
Viladot, A., Viladot, R. Biomécanique de l'avant-pied rhumatoïde in “Le Pied en pratique rhumatologique”. Pathologie articulaire, monographies de podologie no 3, Masson Ed. Paris 1983, 28–32.
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Bouysset, M., Tebib, J., Noel, E. et al. Rheumatoid Metatarsus. The original evolution of the first metatarsal. Clin Rheumatol 10, 408–412 (1991). https://doi.org/10.1007/BF02206661
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DOI: https://doi.org/10.1007/BF02206661