Cracchiolo A
Foot Ankle. 1982 Jul-Aug;3(1):17-23. doi: 10.1177/107110078200300104.
Rheumatoid diseases frequently involve the forefoot producing severe hallux valgus and dislocated metatarsophalangeal (MTP) joints. One must stress the importance of continual evaluation of the foot in these patients. The relationship of midfoot and hindfoot deformities, especially pronation deformities, to the forefoot is essential. Nonoperative treatment can be highly effective and consists of skin and nail care and proper shoes which enclose and support early deformities. Operative care now spans the gamut from excising all or part of the MTP joints, to silicone implant arthroplasty of the MTP joints.
类风湿性疾病常累及前足，导致严重的拇外翻和跖趾关节脱位。必须强调对这些患者的足部进行持续评估的重要性。中足和后足畸形，尤其是内旋畸形与前足的关系至关重要。非手术治疗可能非常有效，包括皮肤和指甲护理以及合适的鞋子，这些鞋子能够包裹并支撑早期畸形。目前手术治疗范围广泛，从切除全部或部分跖趾关节到跖趾关节硅胶植入关节成形术。
