Ziekenhuis Groep Twente, Almelo & Hengelo, The Netherlands.
Clin Rheumatol. 2011 Nov;30(11):1475-9. doi: 10.1007/s10067-011-1780-8. Epub 2011 May 26.
We studied rheumatoid arthritis (RA) patients with foot complaints to address the associations between clinical signs and symptoms, radiographic changes, and function in connection with disease duration. Secondly, we describe the contribution of several foot segments to the clinical presentation and function. In 30 RA patients with complaints of their feet, attributed to either signs of arthritis and/or radiographic damage, we compared radiographic, ultrasound, clinical, and functional parameters of the feet and ankle. Pain and swelling of the ankle were correlated weakly but statistically significantly with limitation and disability (0.273 to 0.293) as measured on the 5-Foot Function Index (FFI). The clinical signs of the forefoot joints did not influence any of the functional outcome measures. Radiographic scores for both forefeet (SvdH) and hindfeet (Larsen) were correlated with the total Health Assessment Questionnaire Disability Index (HAQ DI) and the 5-FFI limitation subscale. Pain and disease duration, more than radiographic damage, influence the total HAQ DI significantly. With the progression of time, structural damage and function of the rheumatic foot worsen in RA patients. Pain and swelling of the ankle contribute more to disability than radiographic damage of the foot and ankle.
我们研究了有足部主诉的类风湿关节炎 (RA) 患者，以探讨与疾病持续时间相关的临床体征和症状、影像学改变以及功能之间的关系。其次，我们描述了几个足部节段对临床表现和功能的贡献。在 30 名有足部主诉的 RA 患者中，这些主诉归因于关节炎的体征和/或放射影像学损害，我们比较了足部和踝关节的放射影像学、超声、临床和功能参数。踝关节的疼痛和肿胀与 5 英尺功能指数 (FFI) 测量的受限和残疾呈弱但有统计学意义的相关 (0.273 至 0.293)。前足关节的临床体征并不影响任何功能结果测量。前脚 (SvdH) 和后脚 (Larsen) 的放射影像学评分与总健康评估问卷残疾指数 (HAQ DI) 和 5-FFI 受限子量表相关。疼痛和疾病持续时间比放射影像学损害更显著地影响总 HAQ DI。随着时间的推移，RA 患者的风湿性足部的结构损伤和功能会恶化。踝关节的疼痛和肿胀对残疾的影响大于足部和踝关节的放射影像学损害。
