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Rheumatoid arthritis. Hindfoot disease
1Department of Orthopaedic Surgery, University of California, Los Angeles 90024, USA.
Clinical Orthopaedics and Related Research
|July 1, 1997
Summary
Rheumatoid arthritis can affect the hindfoot, causing pain and deformity. Early intervention and proper management, including surgery when necessary, are crucial for preserving function and preventing complications.
Area of Science:
- Orthopedics
- Rheumatology
- Podiatry
Background:
- Rheumatoid arthritis commonly affects the hindfoot, leading to synovial hypertrophy and joint destruction.
- Hindfoot involvement in rheumatoid arthritis is often overlooked, contributing to pain and deformity.
- Posterior tibial tendon function and hindfoot alignment are critical considerations.
Purpose of the Study:
- To highlight the significance of hindfoot involvement in rheumatoid arthritis.
- To emphasize the importance of preserving posterior tibial tendon function.
- To discuss treatment options for hindfoot deformities in rheumatoid arthritis.
Main Methods:
- Review of nonoperative treatments including footwear, physical modalities, and corticosteroid injections.
- Surgical intervention, specifically arthrodesis of selected hindfoot joints.
- Simultaneous evaluation of the ankle joint in affected patients.
Main Results:
- Nonoperative measures aim to manage pain and prevent deformity.
- Arthrodesis effectively relieves pain and corrects or prevents hindfoot deformity.
- Comprehensive evaluation including the ankle joint is essential for optimal outcomes.
Conclusions:
- Hindfoot involvement in rheumatoid arthritis requires careful attention and management.
- Preserving posterior tibial tendon function is key to preventing valgus deformity.
- Surgical intervention, particularly hindfoot arthrodesis, offers significant benefits for pain relief and deformity correction.