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Updated: Jul 11, 2026
06:31
Erosion Identification in Metacarpophalangeal Joints in Rheumatoid Arthritis using High-Resolution Peripheral Quantitative Computed Tomography
Published on: October 6, 2023
The hallux and rheumatiod arthritis.
Acta Orthopaedica Scandinavica
|January 1, 1977
Summary
Rheumatoid arthritis commonly affects the great toe, causing various deformities like hallux valgus and hallux rigidus. Understanding these hallux issues in rheumatoid arthritis is crucial for patient care.
Area of Science:
- Rheumatology
- Orthopedics
- Podiatry
Background:
- Rheumatoid arthritis (RA) is a chronic autoimmune disease.
- Hallux (great toe) involvement is a common manifestation of RA.
- Deformities of the great toe can significantly impact patient mobility and quality of life.
Purpose of the Study:
- To investigate the involvement of the great toe in rheumatoid arthritis.
- To define significant deformities, describe clinical patterns, and discuss pathomechanics.
- To analyze the prevalence and types of hallux deformities in RA patients.
Main Methods:
- Screening of 200 consecutive patients with classical or definite rheumatoid arthritis.
- Exclusion of feet with prior surgery or other pathologies.
- Assessment of hallux pain and deformity in 194 feet.
Main Results:
- 194 out of 200 feet (97%) showed hallux involvement.
- Hallux valgus was the most frequent deformity, often co-occurring with others.
- Hallux rigidus and interphalangeal hyperextension were significant findings.
- Metatarsus primus varus and medial toe rotation were also noted.
Conclusions:
- Great toe involvement is highly prevalent in rheumatoid arthritis.
- Multiple deformities frequently coexist, necessitating comprehensive assessment.
- Understanding the pathomechanics of these deformities is key for managing RA foot complications.
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