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CT and MRI evaluation of tenosynovitis of the rheumatoid hindfoot

Summary

Thirty-nine patients with rheumatoid arthritis who had presented with tarsitis before, were investigated at the level of the rearfoot. The first 17 patients had CT with previous tenography when it was possible; the following 22 patients had MRI with gadolinium injection. Tendon involvement appeared in 52,9% of the cases on CT, and in 90% of the feet on MRI; therefore, in case of clinical or radiological signs of tarsitis, it appears that tendon involvement must be suspected. With the two procedures the tibialis posterior tendon lesions were very predominant. In the majority of the patients (31/39), there was associated involvement of two or more tendons. If there is a ruptured tendon, the authors think that one must be cautious with surgical tendinous transfer; indeed, the long-term results of this surgical procedure present a strong probability of being compromised in rheumatoid arthritis which is a progressive disease.

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References

  1. 1.

    Downey, D.J., Simkin, P.A., Mack, L.A., richardson, M.L., Kilcoyne, R.F., Hansen, S.T. Tibialis posterior tendon rupture: a cause of rheumatoid flat foot (letter). Arthritis and Rheumatism 1988, 31, 3, 441–446.

  2. 2.

    Vainio, K. (1956) The rheumatoid foot. A clinical study with pathological and roentgenological comments. Annales chirurgiae et gynaecologiae fenniae 1956, 45 (Suppl 1).

  3. 3.

    Kirkham, B.W., Gibson, T. Comment on the article by Downey et al (letter). Arthritis Rheum 1988, 31, 3.

  4. 4.

    Tillmann, K. The Rheumatoid Foot. Stuttgart, Gears Thieme ed., 1979, 44–56.

  5. 5.

    Simkin, P.A., Downey, D.J., Richardson, M.L. (1989) More on the posterior tibial tendon in rheumatoid arthritis (Letter). Arthritis Rheum 1989, 32, 8.

  6. 6.

    Van Holsbeeck, M., Introcaso, J. Sonographic detection of posterior tibial tendon rupture (abstract). Radiology 1991, 181 (P), 248.

  7. 7.

    Van Holsbeeck, M., Katcherian, D., Wu, K.K. Introcaso, J.H. Patterns of posterior tibial tendon abnormality (abstract). Radiology 1992, 185 (P), 143–144.

  8. 8.

    Van Holsbeeck, M., Introcaso, J., Kolowich, P. Sonography of tendons: patterns of disease. Diagnostic Imaging, 475–481.

  9. 9.

    Zacher, J., Kisslinger, E. Wessinghage, D., Bamback, Th. Sonographischer und makroskopischer befund am rheumatisch veränderten Gelenk. Akt Rheumatol 1988, 13, 3, 91–99.

  10. 10.

    Thermann, H., Hoffmann, R., Zwipp, H., Tscherne, H. The use of ultrasonography in the foot and ankle. Foot and Ankle 1992, 13, 7 September.

  11. 11.

    Kälebo, P., Allenmark, C., Peterson, L., Swärd, L. Diagnostic value of ultra-sonography in partial ruptures of the Achilles tendon. The American Journal of Sports Medicine 1992, 20, 4, 378–381.

  12. 12.

    Kitaoka, H.B. Rheumatoid hindfoot. Orthopedic Clin of North America 1989, 20 4, 593–604.

  13. 13.

    Bouysset, M., Bonvoisin, B., Lejeune, E., Bouvier, M. Flattening of the rheumatoid foot in tarsal arthritis on X-ray. Scand J Rheumatol 1987, 16, 127–133.

  14. 14.

    Anderson, E.G. The rheumatoid foot: a sideways look. Ann Rheum Dis 1990, 49, 851–857.

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Correspondence to Dr. M. Bouysset.

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Bouysset, M., Tavernier, T., Tebib, J. et al. CT and MRI evaluation of tenosynovitis of the rheumatoid hindfoot. Clin Rheumatol 14, 303–307 (1995). https://doi.org/10.1007/BF02208343

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Key words

  • Foot
  • Rheumatoid Arthritis
  • Tendons
  • MRI
  • CT