Médecine et chirurgie du pied


Peroneal Tendons in Rheumatoid Arthritis (MRI Study from 63 Feet) Volume 31, issue 4, Décembre 2015


  • Tableau 1

It seems that the fibularis tendons have not benefit by specific studies in rheumatoid arthritis (RA). 63 rheumatoid feet without neither surgery nor biologic therapy had clinical assessment of the hindfoot deformity and MRI of the hindfoot with gadolinium injection. The mean age is 53.8 years (26-75) and the mean disease duration is 9.8 years (1-20). It is observed 39 feet with important valgus hindfoot and 14 feet with varus hindfoot. The tibial posterior tendon (PTT) lesions are very predominant and correlated with sinus tarsi synovitis (p<0.001). No fibularis tendon lesion is observed without lesion of PTT. The fibularis tendon lesions are correlated with sinus tarsi synovitis (p<0.05). No correlation is observed between hindfoot varus deformity and fibularis tendon lesion. Conclusion: whatever is the static disorder of the hindfoot, the treatment of the fibular tendon lesions must firstly keep the inflammatory involvement under control.