类风湿关节炎中胫后肌腱和距下关节复合体：磁共振成像研究
Posterior tibial tendon and subtalar joint complex in rheumatoid arthritis: magnetic resonance imaging study.
作者信息
Bouysset Maurice, Tebib Jacques, Tavernier Thierry, Noel Eric, Nemoz Chantal, Bonnin Michel, Tillmann Karl, Jalby Jocelyne
机构信息
Department of Rheumatology, Hôpital Edouard-Herriot, Lyon, France.
出版信息
J Rheumatol. 2003 Sep;30(9):1951-4.
OBJECTIVE
To observe by magnetic resonance imaging (MRI) the pathologic changes in the posterior tibial tendon (PTT), subtalar joint complex (STJC), and sinus tarsi in patients with rheumatoid arthritis (RA), and if possible to determine their involvement in the course of the disease.
METHODS
Sixty-seven rheumatoid feet with mid and hindfoot pain underwent MRI with gadolinium injection. Localized enhancement and anatomic lesions were assessed in the 3 sites.
RESULTS
On MRI, PTT involvement was seen to be more frequent than STJC or sinus tarsi. When there was gadolinium enhancement of the PTT there was no sinus tarsi enhancement (p = 0.014). Interosseous talocalcaneal ligament rupture was correlated with disability (p = 0.031).
CONCLUSION
In RA patients with hindfoot pain, PTT synovitis is observed when there is no sinus tarsi synovitis.
目的
通过磁共振成像（MRI）观察类风湿关节炎（RA）患者胫后肌腱（PTT）、距下关节复合体（STJC）和跗骨窦的病理变化，并尽可能确定它们在疾病过程中的受累情况。
方法
对67例中后足疼痛的类风湿足进行钆增强MRI检查。评估3个部位的局部强化和解剖病变。
结果
在MRI上，PTT受累比STJC或跗骨窦更常见。当PTT有钆增强时，跗骨窦无增强（p = 0.014）。距跟骨间韧带断裂与残疾相关（p = 0.031）。
结论
在有后足疼痛的RA患者中，当跗骨窦无滑膜炎时可观察到PTT滑膜炎。
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