PT  - JOURNAL ARTICLE
AU  - Maurice Bouysset
AU  - Jacques Tebib
AU  - Thierry Tavernier
AU  - Eric Noel
AU  - Chantal Nemoz
AU  - Michel Bonnin
AU  - Karl Tillmann
AU  - Jocelyne Jalby
TI  - Posterior tibial tendon and subtalar joint complex in rheumatoid arthritis: magnetic resonance imaging study.
DP  - 2003 Sep 01
TA  - The Journal of Rheumatology
PG  - 1951--1954
VI  - 30
IP  - 9
4099  - http://www.jrheum.org/content/30/9/1951.short
4100  - http://www.jrheum.org/content/30/9/1951.full
SO  - J Rheumatol2003 Sep 01; 30
AB  - OBJECTIVE: To observe by magnetic resonance imaging (MRI) the pathologic changes in the posterior tibial tendon (PTT), subtalar joint complex (STJC), and sinus tarsi in patients with rheumatoid arthritis (RA), and if possible to determine their involvement in the course of the disease. METHODS: Sixty-seven rheumatoid feet with mid and hindfoot pain underwent MRI with gadolinium injection. Localized enhancement and anatomic lesions were assessed in the 3 sites. RESULTS: On MRI, PTT involvement was seen to be more frequent than STJC or sinus tarsi. When there was gadolinium enhancement of the PTT there was no sinus tarsi enhancement (p = 0.014). Interosseous talocalcaneal ligament rupture was correlated with disability (p = 0.031). CONCLUSION: In RA patients with hindfoot pain, PTT synovitis is observed when there is no sinus tarsi synovitis.