Assessment of foot-ankle involvement and deformities in patients with psoriatic arthritis Psöriatik artritli hastalarda ayak-ayak bileǧi tutulumunun ve deformitelerinin deǧerlendirilmesi
Turkiye Klinikleri Journal of Medical Sciences, cilt.28, sa.5, ss.672-676, 2008 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 28 Sayı: 5
- Basım Tarihi: 2008
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.672-676
- Anahtar Kelimeler: Arthritis, Foot deformities, Psoriatic
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Foot deformities that occur in psoriatic arthritis (PsA) may develop due to arthritis and joint destructions. Such deformities can lead to pain, deterioration of daily living activities, functional impairment and cosmetic disorders. The aims of this study were to assess foot-ankle involvement and deformities clinically and radiologically in patients with PsA. Material and Methods: Thirty-two patients diagnosed with PsA according to the American College of Rheumatology were included in the study. The patients were inquired for the presence of pain in the ankle, inferior and posterior aspect of the heel and the metatarsal region. Ankle arthritis, Achilles enthesitis, arthritis mutilans, sausace toe and claw toe were evaluated in the foot examination. Anteroposterior and lateral weight bearing radiographs were taken for radiological investigation. Hallux vaIgus and splay foot were evaluated by anteroposterior radiographs and pes planus (PP) was evaluated by lateral radiographs. In addition to the narrowing of the ankle, erosion, proliferation, osteolysis and pencil in cup appearence of the forefoot and erosion, proliferation and spur in calcanus were investigated. Results: The mean age of the patients was 46.2 ± 12.0 years and the ratio of female/male patients was 15/17. The most common symptom was pain in the ankle (34%) and the most common clinical finding was Achilles enthesitis (25%). While PP was the most frequent radiographic deformity (62%), calcaneal spur was the major radiographic change (56.3%). Conclusion: Foot and ankle involvement and deformities especially PP, were common in patients with PsA. Foot evaluation, which can be overlooked during routine examination, should be performed clinically and radiologically and appropriate medical treatment, physical theraphy and orthoses should be planned. Copyright © 2008 by Türkiye Klinikleri.