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High Prevalence of Foot Insufficiency Fractures in Patients With Inflammatory Rheumatic Musculoskeletal Diseases.
Buehring, Bjoern; Al-Azem, Nadine; Kiltz, Uta; Fruth, Martin; Andreica, Ioana; Kiefer, David; Tsiami, Styliani; Baraliakos, Xenofon; Braun, Jürgen.
Afiliação
  • Buehring B; B. Buehring, MD, N. Al-Azem, MD, U. Kiltz, MD, I. Andreica, MD, D. Kiefer, MD, S. Tsiami, MD, X. Baraliakos, MD, J. Braun, MD, Rheumazentrum Ruhrgebiet, Herne, and Ruhr-Universität Bochum, Bochum.
  • Al-Azem N; B. Buehring, MD, N. Al-Azem, MD, U. Kiltz, MD, I. Andreica, MD, D. Kiefer, MD, S. Tsiami, MD, X. Baraliakos, MD, J. Braun, MD, Rheumazentrum Ruhrgebiet, Herne, and Ruhr-Universität Bochum, Bochum.
  • Kiltz U; B. Buehring, MD, N. Al-Azem, MD, U. Kiltz, MD, I. Andreica, MD, D. Kiefer, MD, S. Tsiami, MD, X. Baraliakos, MD, J. Braun, MD, Rheumazentrum Ruhrgebiet, Herne, and Ruhr-Universität Bochum, Bochum.
  • Fruth M; M. Fruth, MD, Radiologie Herne, Herne, Germany.
  • Andreica I; B. Buehring, MD, N. Al-Azem, MD, U. Kiltz, MD, I. Andreica, MD, D. Kiefer, MD, S. Tsiami, MD, X. Baraliakos, MD, J. Braun, MD, Rheumazentrum Ruhrgebiet, Herne, and Ruhr-Universität Bochum, Bochum.
  • Kiefer D; B. Buehring, MD, N. Al-Azem, MD, U. Kiltz, MD, I. Andreica, MD, D. Kiefer, MD, S. Tsiami, MD, X. Baraliakos, MD, J. Braun, MD, Rheumazentrum Ruhrgebiet, Herne, and Ruhr-Universität Bochum, Bochum.
  • Tsiami S; B. Buehring, MD, N. Al-Azem, MD, U. Kiltz, MD, I. Andreica, MD, D. Kiefer, MD, S. Tsiami, MD, X. Baraliakos, MD, J. Braun, MD, Rheumazentrum Ruhrgebiet, Herne, and Ruhr-Universität Bochum, Bochum.
  • Baraliakos X; B. Buehring, MD, N. Al-Azem, MD, U. Kiltz, MD, I. Andreica, MD, D. Kiefer, MD, S. Tsiami, MD, X. Baraliakos, MD, J. Braun, MD, Rheumazentrum Ruhrgebiet, Herne, and Ruhr-Universität Bochum, Bochum.
  • Braun J; B. Buehring, MD, N. Al-Azem, MD, U. Kiltz, MD, I. Andreica, MD, D. Kiefer, MD, S. Tsiami, MD, X. Baraliakos, MD, J. Braun, MD, Rheumazentrum Ruhrgebiet, Herne, and Ruhr-Universität Bochum, Bochum; juebraun@gmx.de.
J Rheumatol ; 50(8): 1071-1077, 2023 08.
Article em En | MEDLINE | ID: mdl-36521920
ABSTRACT

OBJECTIVE:

To assess the prevalence of foot insufficiency fractures (IF) in patients with rheumatic musculoskeletal disease (RMD) with foot pain.

METHODS:

In a retrospective design, 1752 magnetic resonance imaging (MRI) scans of consecutive patients presenting with foot pain in 2 time periods between 2016 and 2018 were evaluated. The group with IF was matched with controls with foot pain without IF. Bone mineral density (BMD) was assessed by dual-energy x-ray absorptiometry. Multivariate analyses were performed.

RESULTS:

A total of 1145 MRI scans of patients (median age 59 yrs, 82.9% female) with an inflammatory (65.4%) and of 607 with no inflammatory (34.6%) RMD (median age 58 yrs, 80.8% female) were available. Most patients had rheumatoid arthritis (RA; 42.2%), and others had psoriatic arthritis (22.4%), axial spondyloarthritis (11.1%), or connective tissue disease (CTD; 7.6%). Foot IF were found in 129 MRI scans of patients (7.5%). There was no difference between time periods. The prevalence of IF was highest in CTD (23%) and RA (11.4%). More patients with an inflammatory than a noninflammatory RMD had IF (9.1% vs 4.1%, respectively; P < 0.001). Using conventional radiography, IF were only detected in 25%. Low BMD and a history of fractures were more frequent in patients with IF than without (42.6% vs 16.2% and 34.9% vs 8.6%, respectively; P < 0.001).

CONCLUSION:

A high prevalence of foot fractures was found in MRI scans of patients with RMD, many without osteoporosis. MRI was more sensitive than radiographs to detect IF.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Fraturas de Estresse / Doenças Musculoesqueléticas / Doenças do Pé Tipo de estudo: Prevalence_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2023 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Fraturas de Estresse / Doenças Musculoesqueléticas / Doenças do Pé Tipo de estudo: Prevalence_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2023 Tipo de documento: Article