Médecine et chirurgie du pied


Alterations to the talar angle and the calcaneal angle in rheumatoid arthritis (radiological study) Volume 24, issue 3, Septembre 2008


Three hundred and ninety-seven adult rheumatoid feet were examined. Those in which pain had been present since the onset of the disease were compared radiographically with the painless feet in standing position: examination of the talar angle and of the medial arch angle showed flattening of the affected feet. The calcaneal angle, on the other hand, showed no difference between the two groups, but this latter parameter is little affected by the valgus deformity of the hindfoot often seen in patients who had experienced foot pain. Since painful rheumatoid feet have a tendency to flattening, it is important to evaluate them regularly so as to adapt footwear and if need be prescribe plantar orthoses.