Chronic progressive systemic inflammatory disease in which joints are primary target
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Andersson ML et al: Distribution of erosions in hands and feet at the time for the diagnosis of RA and during 8-year follow-up. Clin Rheumatol. 40(5):1799-810, 2021
Dakkak YJ et al: Rheumatoid arthritis and tenosynovitis at the metatarsophalangeal joints: an anatomic and mri study of the forefoot tendon sheaths. Radiology. 295(1):146-54, 2020
Bruyn GAW et al: Ultrasound of subtalar joint synovitis in patients with rheumatoid arthritis: results of an OMERACT reliability exercise using consensual definitions. J Rheumatol. 46(4):351-9, 2019
Harman H et al: Ankle pathologies in patients with inflammatory rheumatic diseases: a clinical and ultrasonographic study. Int J Rheum Dis. 20(6):675-84, 2017
Nieuwenhuis WP et al: Evaluation of the diagnostic accuracy of hand and foot MRI for early rheumatoid arthritis. Rheumatology (Oxford). 56(8):1367-77, 2017
Toyota Y et al: Musculoskeletal ultrasonography delineates ankle symptoms in rheumatoid arthritis. Mod Rheumatol. 27(3):425-9, 2017
Zubler V et al: Frequency of arthritis-like MRI findings in the forefeet of healthy volunteers versus patients with symptomatic rheumatoid arthritis or psoriatic arthritis. AJR Am J Roentgenol. 208(2):W45-53, 2017
Naredo E et al: Predictive value of Doppler ultrasound-detected synovitis in relation to failed tapering of biologic therapy in patients with rheumatoid arthritis. Rheumatology (Oxford). 54(8):1408-14, 2015
Niki H et al: Long-term outcome of joint-preserving surgery by combination metatarsal osteotomies for shortening for forefoot deformity in patients with rheumatoid arthritis. Mod Rheumatol. 25(5):683-8, 2015
Onodera T et al: A comparative study with in vitro ultrasonographic and histologic grading of metatarsal head cartilage in rheumatoid arthritis. Foot Ankle Int. 36(7):774-9, 2015
Matsumoto T et al: Radiologic patterning of joint damage to the foot in rheumatoid arthritis. Arthritis Care Res (Hoboken). 66(4):499-507, 2014
Stomp W et al: Are rheumatoid arthritis patients discernible from other early arthritis patients using 1.5T extremity magnetic resonance imaging? A large cross-sectional study. J Rheumatol. 41(8):1630-7, 2014
Chan PS et al: Natural history and imaging of subtalar and midfoot joint disease in rheumatoid arthritis. Int J Rheum Dis. 16(1):14-8, 2013
Bøyesen P et al: Prediction of MRI erosive progression: a comparison of modern imaging modalities in early rheumatoid arthritis patients. Ann Rheum Dis. 70(1):176-9, 2011
Aletaha D et al: 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 62(9):2569-81, 2010
Narváez JA et al: MR imaging of early rheumatoid arthritis. Radiographics. 30(1):143-63; discussion 163-5, 2010
Grondal L et al: The foot: still the most important reason for walking incapacity in rheumatoid arthritis: distribution of symptomatic joints in 1,000 RA patients. Acta Orthop. 79(2):257-61, 2008
Hattori T et al: Radiological study of joint destruction patterns in rheumatoid flatfoot. Clin Rheumatol. 27(6):733-7, 2008
Torikai E et al: Comparison between resection arthroplasty alone and resection arthroplasty with arthrodesis of the first MTP joint for rheumatoid forefoot deformities. Mod Rheumatol. 18(5):486-91, 2008
Wakefield RJ et al: The optimal assessment of the rheumatoid arthritis hindfoot: a comparative study of clinical examination, ultrasound and high field MRI. Ann Rheum Dis. 67(12):1678-82, 2008
Bibbo C: Wound healing complications and infection following surgery for rheumatoid arthritis. Foot Ankle Clin. 12(3):509-24, vii, 2007
Chou LB et al: Treatment of severe, painful pes planovalgus deformity with hindfoot arthrodesis and wedge-shaped tricortical allograft. Foot Ankle Int. 28(5):569-74, 2007
Johnson PT et al: CT of the foot: selected inflammatory arthridites. J Comput Assist Tomogr. 31(6):961-9, 2007
Molloy AP et al: Surgery of the lesser toes in rheumatoid arthritis: metatarsal head resection. Foot Ankle Clin. 12(3):417-33, vi, 2007
Weiss RJ et al: Ankle/hindfoot arthrodesis in rheumatoid arthritis improves kinematics and kinetics of the knee and hip: a prospective gait analysis study. Rheumatology (Oxford). 46(6):1024-8, 2007
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Rheumatoid arthritis (RA)
Definitions
Chronic progressive systemic inflammatory disease in which joints are primary target
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Andersson ML et al: Distribution of erosions in hands and feet at the time for the diagnosis of RA and during 8-year follow-up. Clin Rheumatol. 40(5):1799-810, 2021
Dakkak YJ et al: Rheumatoid arthritis and tenosynovitis at the metatarsophalangeal joints: an anatomic and mri study of the forefoot tendon sheaths. Radiology. 295(1):146-54, 2020
Bruyn GAW et al: Ultrasound of subtalar joint synovitis in patients with rheumatoid arthritis: results of an OMERACT reliability exercise using consensual definitions. J Rheumatol. 46(4):351-9, 2019
Harman H et al: Ankle pathologies in patients with inflammatory rheumatic diseases: a clinical and ultrasonographic study. Int J Rheum Dis. 20(6):675-84, 2017
Nieuwenhuis WP et al: Evaluation of the diagnostic accuracy of hand and foot MRI for early rheumatoid arthritis. Rheumatology (Oxford). 56(8):1367-77, 2017
Toyota Y et al: Musculoskeletal ultrasonography delineates ankle symptoms in rheumatoid arthritis. Mod Rheumatol. 27(3):425-9, 2017
Zubler V et al: Frequency of arthritis-like MRI findings in the forefeet of healthy volunteers versus patients with symptomatic rheumatoid arthritis or psoriatic arthritis. AJR Am J Roentgenol. 208(2):W45-53, 2017
Naredo E et al: Predictive value of Doppler ultrasound-detected synovitis in relation to failed tapering of biologic therapy in patients with rheumatoid arthritis. Rheumatology (Oxford). 54(8):1408-14, 2015
Niki H et al: Long-term outcome of joint-preserving surgery by combination metatarsal osteotomies for shortening for forefoot deformity in patients with rheumatoid arthritis. Mod Rheumatol. 25(5):683-8, 2015
Onodera T et al: A comparative study with in vitro ultrasonographic and histologic grading of metatarsal head cartilage in rheumatoid arthritis. Foot Ankle Int. 36(7):774-9, 2015
Matsumoto T et al: Radiologic patterning of joint damage to the foot in rheumatoid arthritis. Arthritis Care Res (Hoboken). 66(4):499-507, 2014
Stomp W et al: Are rheumatoid arthritis patients discernible from other early arthritis patients using 1.5T extremity magnetic resonance imaging? A large cross-sectional study. J Rheumatol. 41(8):1630-7, 2014
Chan PS et al: Natural history and imaging of subtalar and midfoot joint disease in rheumatoid arthritis. Int J Rheum Dis. 16(1):14-8, 2013
Bøyesen P et al: Prediction of MRI erosive progression: a comparison of modern imaging modalities in early rheumatoid arthritis patients. Ann Rheum Dis. 70(1):176-9, 2011
Aletaha D et al: 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 62(9):2569-81, 2010
Narváez JA et al: MR imaging of early rheumatoid arthritis. Radiographics. 30(1):143-63; discussion 163-5, 2010
Grondal L et al: The foot: still the most important reason for walking incapacity in rheumatoid arthritis: distribution of symptomatic joints in 1,000 RA patients. Acta Orthop. 79(2):257-61, 2008
Hattori T et al: Radiological study of joint destruction patterns in rheumatoid flatfoot. Clin Rheumatol. 27(6):733-7, 2008
Torikai E et al: Comparison between resection arthroplasty alone and resection arthroplasty with arthrodesis of the first MTP joint for rheumatoid forefoot deformities. Mod Rheumatol. 18(5):486-91, 2008
Wakefield RJ et al: The optimal assessment of the rheumatoid arthritis hindfoot: a comparative study of clinical examination, ultrasound and high field MRI. Ann Rheum Dis. 67(12):1678-82, 2008
Bibbo C: Wound healing complications and infection following surgery for rheumatoid arthritis. Foot Ankle Clin. 12(3):509-24, vii, 2007
Chou LB et al: Treatment of severe, painful pes planovalgus deformity with hindfoot arthrodesis and wedge-shaped tricortical allograft. Foot Ankle Int. 28(5):569-74, 2007
Johnson PT et al: CT of the foot: selected inflammatory arthridites. J Comput Assist Tomogr. 31(6):961-9, 2007
Molloy AP et al: Surgery of the lesser toes in rheumatoid arthritis: metatarsal head resection. Foot Ankle Clin. 12(3):417-33, vi, 2007
Weiss RJ et al: Ankle/hindfoot arthrodesis in rheumatoid arthritis improves kinematics and kinetics of the knee and hip: a prospective gait analysis study. Rheumatology (Oxford). 46(6):1024-8, 2007
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