Foot and Ankle in Rheumatoid Arthritis

251 Pages·2005·1.27 MB·English

by  Maurice Bouysset

Foot and ankle in rheumatoid arthritis
springer
Paris
Berlin
Heidelberg
New York
Hong Kong
Londres
Milan
Tokyo
Maurice Bouysset, Yves Tourne and Karl Tillmann
Foot and ankle
in rheumatoid arthritis
Springer
Maurice Bouysset
126, rue Philippe-Heron
69400 Villefranche-sur-Saone
France
Yves Tourne
Groupe Chirurgical Republique
15, rue de la Republique
38000 Grenoble
France
Karl TUlmann
Arzt-fur Orthopaedic Rheumaklinik
24572 Bad Bramstedt Hoist.
Germany
lSBN-10: 2-287-59757-3 Springer Paris Berlin Heidelberg New York
ISBN-13: 9/ S-2-287-59757-2 Springer Paris Berlin Heidelberg New York
© Springer Verlag France, 2006
Printed in France
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SPIN: 10864155
Cover Design: Nadia OUDDANE
List of authors
Dr Bonnin Michel Clinique Sainte-Anne-Lumiere,
85, cours Albert-Thomas, 69003 Lyon (France)
Dr Bouysset Maurice 126, rue Philippe-Heron,
69400 Villefranche-sur-Saone (France)
DrCaroW. Universitatsklinik Regensburg,
im BRK Rheuma-Zentrum Kaiser-Karl V - allee 3,
93077 Bad Abbach (Germany)
Dr Colombier Jean-Alain Clinique de I'Union
Boulevard Ratalens
31240 Saint-Jean (France)
Dr Crevoisier Xavier FMH chirurgie orthopedique,
hopital orthopedique de la Suisse romande,
Pierre-Decker 4,1005 Lausanne (Switzerland)
PrFinkB. Klinik und Polichlinik fur Orthopadie,
Universitat Hazmburg-Eppendorf
Martinistr. 52, D-20246 Hamburg (Germany)
Dr Gintz Bruno CHU Albert-Michallon, BP 217,
38043 Grenoble Cedex 09 (France)
Pr Grifka Joachim Orthopadische Universitatsklinik Regensburg,
im BRK Rheuma-Zentrum Kaiser-Karl V -Allee 3,
93077 Bad Abbach (Germany)
Dr Guaydier-Souquieres Centre hospitaller universitaire de Caen
Gennevieve 14033 Caen Cedex (France)
DrHeersG. Orthopadische Universitatsklinik Regensburg,
im BRK Rheuma-Zentrum Kaiser-Karl V - Allee 3,
93077 Bad Abbach (Germany)
VI Foot and ankle in rheumatoid arthritis
Dr Hugueny Pascale 126, rue Philippe Heron
69400 Villefranche-sur-Saone (France)
Drjalbyjocelyne 126, rue Philippe-Heron,
69400 Villefranche-sur-Saone (France)
Dr Judet Thierry Hopital Tenon
4, rue de la Chine
75020 Paris (France)
DrKoeckRX. Orthopadische Universitatsklinik Regensburg,
im BRK Rheuma-Zentrum Kaiser-Karl V - Allee 3,
93077 Bad Abbach (Germany)
PrKofoedHakon 30 Norasvej DK 2920, Charlottenlund (Denmark)
Dr Lapeyre Fran^oise Centre de grand appareillage, 53, rue de Crequi,
69006 Lyon (France)
Cliniques Universitaires Saint-Luc
Dr Leemrijse Thibaut
Avenue Hippocrate, 10
1200 Bruxelles (Belgium)
Hopital Edouard-Herriot, pavilion F,
Pr Miossec Pierre
Service de rhumatologie et de pathologic osseuse
5, place d'Arsonval, 69437 Lyon Cedex 03 (France)
Clinique Sainte-Anne Lumiere
Dr Noel Eric
85, cours Albert Thomas
69003 Lyon (France)
Surgical Arthritis Unit,
PrSouterW.A.
Princess Margaret Rose Orthopaedic Hospital,
Edinburgh (Grait Britain)
Clinique Jouvenet
Dr Siguier Thierry
6, square Jouvenet
75016 Paris (France)
Dr Tavernier Thierry Clinique de la Sauvegarde, av. Ben-Gourion,
service de radiologic, 69009 Lyon (France)
Pr Tebib Jacques Centre hospitaller Lyon-Sud, service de
rhumatologie, 69310 Pierre-Benite (France)
Dr Thabe Heiner Diakonie-Anstalten Ringstrasse 58-60,
D 55 543 Bad Kreuznach (Germany)
PrTiUmannKarl Arzt fur Orthopaedic Rheumaklinik,
24572 Bad Bramstedt Hoist (Germany)
Dr Tourne Yves Groupe Chirurgical Republique
15, rue de la Republique
38000 Grenoble (France)
Dr Valtin Bernard Clinique des Lilas CEPIM,
41-49, avenue du Marechal-Juin,
93260 Les Lilas (France)
Aknowledgemen ts
With specific aknowledgements to professor J. Tebib without his help this book would not have
been possible.
And for their help a special gratitude to doctor Michel Bonnin, who read several translations of
surgical chapter, and Corinne Gauthier, the secretary of the book.
The following people are ash thanked for their direct or indirect participation in the making of this
book: Veronique Belin, Jean-Luc Besse, Maurice Bouvier, Jean-Frangois Brantus, Roland Chapardy
Jeanne Charrin, Frederic Colson, Nina Crowte, P.-D. Delmas, Laurence Denoual,
Stephanie van Duin, Jean-Pierre Duivon, Roger Elkaim, Joachim Grifka, Sophie Guillemot,
Pascale Hugueny, Nathalie Huilleret, Jocelyne Jalby, Catherine Jolly, Jean-Paul Larbre,
Patrick Lavault, Guy Lorca, P.-J. Meunier, Pierre Miossec, Chantal Nemoz, Eric Noel,
Annie-Claude Ortiz, Jean-Claude Vianey, Eric Vignon.
Foreword
One of the earliest signs of rheumatoid arthritis may be pain in the foot. However,
this part of the body is very often neglected during clinical assessment of the illness
in favour of the articulations of the upper limbs, knees and hips.
Nevertheless, it appears evident that a detailed clinical examination of the forefoot,
ankle and heel could be useful in order to get closer to a rheumatological diagnosis.
Thanks to blood tests and conventional imaging, completed with a scanner or MRI if
needed, every doctor should be in a position to detect the beginning of rheumatoid
arthritis in the foot or ankle.
As well as its diagnostic contribution, this book broaches the theme of the most
recent medicinal treatments, that of orthoses, made-to-measure shoes (the
prescription of which practitioners and the rheumatologists often hand over to the
orthopaedic surgeons), and finally that of local injections. These elements constitute
the main treatment of the rheumatoid foot.
Taking care of the ill subject does not necessarily stop there and a surgeon may need
to operate on the forefoot, which is more common, or on the mid-foot or the ankle.
One of the strong points of this book is that a large part of it covers the diverse
surgical possibilities that are now available. These measures need to be carefully
thought about beforehand with regards to their usefulness for each patient, if
possible with an exchange between rheumatologists and orthopaedists. The
complementary nature of the surgical and conservative clinical approach appears
clearly in the structure of this book.
The credit of this book is due to A.M. Bouysset, Y. Tourne and K. Tillmann. With the
« Pied en rhumatologie » published in 1998 and « Pathologie osteo-articulaire du
pied et de la cheville » published in 2000, Maurice Bouysset has already given us a
foretaste of the perfection he achieves in the books he inspires and whose
publications he directs.
Pr Jean-Charles Gerster
CHUVaudois
Hopital Nestle
Avenue Pierre Decker 5
CH 1010 Lausanne
Switzerland
Preface
We all have a great and ever increasing interest in the international efforts of
describing, understanding and solving foot and ankle problems. More and more
orthopaedic surgeons are going to specialize in the treatment of disorders of the
foot. The European Foot and Ankle Society - EFAS, aiming to promote the
development of foot and ankle surgery and to advance education, study and research
in this speciality observes a popular interest and demand for instructional courses
and for specialized literature.
It is essential to collect the experience and the expertise of more than one specialist
to provide a substantial contribution to a subject. This book is certain to be a
substantial contribution. Twenty percent of rheumatoid arthritis starts in the foot
and ankle area. Not only specialists should know the pathomechanism and the
spectrum of the conservative and operative treatment but also master later stages
and to be able to soothe the suffering.
It is not an easy task to write comprehensible texts for all levels of rheumatologists,
foot surgeons and professional groups engaged in foot treatment. In my view, all
participating authors of this book have done just that, respecting the multiple layers
of this chronic inflammatory disease. They share their great experience and their
knowledge, respecting biomechanical features, giving a clear description of the
current state of the art concerning operative treatment and conservative therapeutic
and aftercare measures. Specialists and editors have succeeded in composing a
unique textbook, reflecting the high level of the authors' experience. All fundamental
information is well illustrated and arranged in a enjoyable didactical way.
Rheumatologists such as Maurice Bouysset and orthopaedists such as Yves Tourne
and Karl Tillmann as editors and most of the participating authors of this are highly
experienced in the treatment of inflammatory and post-inflammatory residual
disorders of the human joints, and it was them who set the pace in many directions
of research and development concerning the foot. This book provides us with an
insight to the European rheumatologists' skills, being an enrichment for everybody's
library.
Pr Hans Heino Kuster
Professor of orthopaedic surgery
Director orthopaedic Department
Sankt-Ehsabeth Hospital
Stadtring Kattensroth 130
33332 Glitersloh-Germany
Contents
List of authors V
Acknowledgements VII
Foreword VIII
Preface IX
Diagnosis of rheumatoid arthritis at an early stage 1
P. Miossec and J. Tebib
The rheumatoid foot. Pathomechanics, clinical and radiological features.
Therapeutic conditions. 9
M. Bouysset and P. Hugueny
Some reflections on pathomechanics of the rheumatoid
foot andankle 49
X. Crevoisier
CT and MRI in rheumatoid arthritis
(midfoot, hindfoot and ankle) 73
Th. Tavernier
Management of the patient with rheumatoid arthritis 97
J.-G. Tebib and P. Miossec
Footwear for the rheumatoid foot andankle Ill
M.Bouysset, P. Hugueny, G. Guaydier-Souquieres and E Lapeyre
Corticosteroid injections and synoviortheses of the foot and
anlde in rheumatoid arthritis 123
M. Bouysset, P. Hugueny, B. Gintz, J. Jalby and J. Tebib
Forefoot surgery for rheumatoid arthritis 131
Y. Tourne
Hindfoot surgery for rheumatoid arthritis. 149
B. Valtin and Th. Leemrijse