Heel involvement in rheumatoid polyarthritis

Bouysset, M.; Tebib, J.G.; Vianey, J.C.; Berthier, M.; Nemoz, J.C.; Chaumentin, G.; Schnepp, J.; Llorca, G.; Bouvier, M.

Revue du Rhumatisme et des Maladies Osteo-Articulaires 57(11): 799-803


ISSN/ISBN: 0035-2659
PMID: 2291071
Document Number: 366179
Calcaneus involvement during the course of RA is poorly known. A clinical and radiological study of 408 consecutive rheumatoid feet are then reported. If talalgia was seldomly noted (3.7 p. cent), plantar calcaneitis was found in 29.7 p. cent as plantar spur. Similarly, posterior exostosis was displayed in 30.5 p. cent of patients. These radiological abnormalities are increased in RA but appeared more as a consequence of the statical modification of the foot secondary to RA process than as a direct involvement. Logical orthopedic therapeutics are then proposed.

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