2026-06-29T02:06:30Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1197712025-04-29T23:56:25Zcom_20.500.14352_14col_20.500.14352_15

00925njm 22002777a 4500 dc Bueno Fermoso, Rebeca author Morales Lozano, María Rosario author Nieto Cordero, Marta author Martínez Rincón, María Del Carmen author García Fernández, Pablo author González Fernández, María Luz author 2024-05-14 Abstract Objectives: Metatarsalgia continues to be a problem in patients with rheumatoid arthritis (RA) in remission (remRA), as well as in the non-rheumatic population, with a mechanical origin. Identify and compare clinical, morphological, disability, synovitis (ultrasound), and radiological osteoarticular damage characteristics in two groups of patients with lesser-ray metar-tarsalgia, with remRA, and without RA. Methods: Cross-sectional study with 84 patients with remRA (mRA) and 60 patients without RA (nmRA). The study evaluated five clinical variables (pain, Foot Function Index (FFI), joint mobility, digital deformities, and foot type), a radiological variable (osteoarticular damage), and an ultrasound variable (metatarsal synovitis). The data were analysed using descriptive and correlational techniques. Results: There were no significant differences in sex, age, body mass index (BMI), or degree of pain. Both groups showed a high prevalence of limited joint mobility for the ankle and first metatarsal phalanx (DF1st MTPJ) and digital deformities, with no statistically significant differences. Similarly, there were no differences in lesser-ray synovitis. On the other hand, there were differences in mRA with greater disability and activity limitation (FFI), LDD (lesser-ray digital deformities) stiffness, first-ray deformities, radiological damage, synovitis in 1st MTPJ, and positive Doppler (five patients). Conclusions: Metatarsalgia presents similarities in both populations. Biomechanical factors may influence the symptoms and presence of synovitis in patients with RA in remission. Other characteristics are more frequent in mRA, which could be related to the disease; thus, future research should include both biomechanical and ultrasound exploration of the foot in the valuation of patients in remission. Bueno Fermoso, R., Morales Lozano, M. R., Nieto Cordero, M., Martínez Rincón, C., García-Fernández, P., & González Fernández, M. L. (2024). Differences and Similarities in the Feet of Metatarsalgia Patients with and without Rheumatoid Arthritis in Remission. Journal of Clinical Medicine, 13(10). https://doi.org/10.3390/JCM13102881 2077-0383 10.3390/jcm13102881 https://hdl.handle.net/20.500.14352/119771 https://doi.org/10.3390/jcm13102881 https://www.mdpi.com/2077-0383/13/10/2881 Differences and Similarities in the Feet of Metatarsalgia Patients with and without Rheumatoid Arthritis in Remission