Tamer BAYSAL, Özlem BAYSAL, Gülsen AYKOL, Zühal ALTAY

Romatoid artritte görülen ayak deformiteleri

Amaç: 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

Foot deformities in rheumatoid arthritis

Objectives: 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

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