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RÉSUMÉ
Objectif. Décrire la posture du pied chez les patients atteints de la gonarthrose fémoro-tibiale interne suivis en consultation de rhumatologie au Centre Hospitalier Universitaire de Brazzaville. Patients et Méthodes. Étude Cas-témoin, avec recueil des données prospectif conduite du 1er mars 2023 au 31 juillet 2023, en consultation de Rhumatologie au CHU de Brazzaville, Congo. Le diagnostic de gonarthrose a été retenu sur les critères de l’ACR de 1986. Les témoins étaient les sujets sains de gonarthrose après appariement selon l'âge et le sexe. Résultats. Il s’est agi de 100 patients gonarthrosiques dont 79 (79%) de sexe féminin et 21(21 %) de sexe masculin avec un sexe ratio de 0,26. L’âge moyen était 59,68 ± 7,64 ans, avec des extrêmes de 44 et 76 ans. L’IMC moyen des malades était de 30,89 ± 4,94kg/ m2 avec des extrêmes allant de 20,06 à 50,66 kg/ m2. Un vice architectural a été retrouvé dans 30% des cas. Au plan radiographique, L’index de posture du pied moyen était de 1,50 ± 2,68 avec des extrêmes de - 4 à 8, La hauteur naviculaire moyenne des patients était de 3,90 ± 0,85 cm avec des extrêmes allant de 2 à 6 cm. Nous avons trouvé 58% des patients avec un angle inférieur à 120 ° ; et 42% des cas un angle supérieur à 128. À l´analyse multivariée, l’index de posture du pied et le poids avaient un lien significatif avec la gonarthrose. Conclusion. Notre étude confirme que la posture du pied est corrélée à la survenue et à la progression de la gonarthrose fémoro-tibiale interne.
ABSTRACT
Objective. To describe foot posture in patients with internal femoro-tibial knee osteoarthritis followed in rheumatology consultation at the University Hospital Center of Brazzaville. Patients and Methods. Case-control study, prospective data collection conducted from March 1, 2023 to July 31, 2023, in Rheumatology consultation at the Brazzaville University Hospital, Congo. The diagnosis of knee osteoarthritis was based on the 1986 ACR criteria. The controls were healthy subjects with knee osteoarthritis after matching according to age and sex. Results. There were 100 knee osteoarthritis patients, 79 (79%) female and 21 (21%) male with a sex ratio of 0.26. The mean age was 59.68 ± 7.64 years, with extremes of 44 and 76 years. The average BMI of the patients was 30.89 ± 4.94 kg/ m2 with extremes ranging from 20.06 to 50.66 kg/ m2. An architectural defect was found in 30% of cases. Radiographically, the average foot posture index was 1.50 ± 2.68 with extremes of - 4 to 8. The average navicular height of the patients was 3.90 ± 0.85 cm with extremes ranging from 2 to 6 cm. We found that 58% of patients with an angle less than 120° and 42% of cases an angle greater than 128. It was found, in the multivariate analysis, that the foot posture index and weight have a significant link with the gonarthrosis. Conclusion. Our study confirms that foot posture is strongly correlated with the occurrence and progression of internal femoro-tibial gonarthrosis.
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References
- Petersson I.F.,Jacobsson L.T. Osteoarthritis of the peripheral joints Best Pract.Res.Clin.Rheumatol.,16(2002),pp 741-760.
- Oliviera SA, Felson DT, Reed JL, Cirillo PA, Walker AM. Incidence of sympromatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization. Arthritis Rheum 1995; 38 : 1134-41.
- Oniankitan. O, Fianyo. E, Mijiyawa. M. Gonarthrose en consultation rhumatologique à Lomé (TOGO). Mali Médical 2009; 25 (2): 4-6
- Doualla-Bija. M, Luma. H N, Temfack. E, Gueleko. E T, Kempta. F, Ngandeu. M. (2014). Patterns of knee osteoarthritis in a hospital setting in sub-Saharan Africa. Clinical Rheumatology; 34(11): 1949-53.
- Ouédraogo. DD, Ntsiba. H, Tiendréogo-Zabsonré. J, Tiéno. H, Bokossa. L I, Kaboré. F, Drabo. J. Clinical spectrum of rheumatologic diseases in a department of rheumatology in Ouagadougou (Burkina Faso). Clinical Rheumatology 2014; 33(3): 385-9.
- Sharma. L, Kapoor. D, Issa. S. (2006). Epidemiology of osteoarthritis: an update. Current Opinion in Rheumatology; 18(2): 147-56.
- Jordan K.M., Arden N.K., Doherty M., et al. EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing committee for international clinical studies including therapeutic trials (ESCISIT) Ann.Rheum Dis 2003 ; 62 : 1145-1155
- Pendleton A., Arden N., Dougados M., et al. EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT) Ann.Rheum Dis 2000 ; 59 : 936-944.
- A. Gélis, E. Coudeyre, P. Aboukrat, P. Cros, C. Hérisson, J. Pélissier, Orthèses plantaires et gonarthrose : évaluation des effets biomécaniques et cliniques à partir d'une revue de la littérature, Annales de réadaptation et de médecine physique Volume 48, numéro 9 pages 682-689 (décembre 2005).
- Altman. R, Asch. E, Bloch. D, Bole. G, Borenstein. D, Brandt. K et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and therapeutic criteria committee of the American rheumatism association. Arthritis and Rheumatism; 29(8): 1039-49.
- Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomech (Bristol, Avon) 2006;21:89- 98.
- Felson D.T., Lawrence R.C., Dieppe P.A., et al. Osteoarthritis: new insights. Part 1: the disease and its risk factors Ann intern Med 2000; 133: 635- 646.
- Davis M.A., Ettinger W.H., Neuhaus J.M. The role of metabolic factors and blood pressure in the association of obesity with osteoarthritis of the knee Rheumatol 1988; 15: 1827- 1832.
- World Health Organization (WHO). https://WWW.Who.int.
- Felson D.T., Anderson J.J., Naimark A., et al. Obesity and knee osteoarthritis. The Framingham study. Ann Intern Med 1988 ; 109 : 18- 24.
- Hart D.J., Doyle D.V., Spector T.D. Incidence and risk factors for radiographic knee osteoarthritis in middle- aged women: the Chingford study. Arthritis Rheum1999 ; 42 : 17- 24.
- Felson D.T., Lawrence R.C., Hochberg M.C. , et al. Osteoarthritis: new insights. Par treatment approaches. Ann Intern Med 2000 ; 133 : 726- 737.
- Felson D.T.,Zhang Y.,Hannan M.T.,etal. Risk factors for incident radiographic knee osteoarthritis in the elderly: the Framingham study. Arthritis Rheum 1997 ; 40 : 728- 733.
- Hochberg M.C., Lethbridge- Cejku M., Tobin J.D. Bone mineral density and osteoarthritis: data from the Baltimore longitudinal study of aging. Osteoarthritis cartilage 2004; 12 (Suppl. A): S45- S48.
- Wang Y., Simpson J.A., Wluka A.E. , et al. Relationship between body adiposity measures and risk of primary knee and hip replacement for osteoarthritis: a prospective cohort study. Arthritis Res Ther 2009 ; 11 : R31.
- Chao E.Y., Neluheni E.V., Hsu R.W., Paley D. Biomechanics of malalignment . Orthop Clin North Am 1994 ; 25 (3) : 379-386.
- Janakiramanan N., Teichtahl A.J., Wluka A.E., Ding C., Jones G., Davis S.R., et al. Static knee alignment is associated with the risk of unicompartmental knee cartilage defects J Orthop Res 2008 ; 26 (2) : 225- 230.
- Gougeon F., Traitement de la gonarthrose associée au genu valgum (options thérapeutiques) Conférences d'enseignement 2009 (n °98) Chapitre 6.
- Reilly K, Barker K, Shamley D, Sandall S. Influence of foot characteristics on the site of lower limb osteoarthritis. Foot Ankle Int 2006;27:206–211.
- Redmond A, Crosbie J, Ouvrier R. Development and validation of a novel rating system for scoring standing foot posture: the foot posture index. Clin Biomech 2006;21:89 –98.
- Noakes H, Payne C. The reliability of the manual supination resistance test. J Am Podiatr Med Assoc 2003;93:185 –9.
- Reilly K, Barker K, Shamley D, Sandall S: Influence of foot characteristics on the site of lower limb osteoarthritis. Foot Ankle Int 2006, 27:206- 211.
- Guichet J- M, Javed A, Russell J, Sahel M. Effect of the foot on the mechanical alignment of the lower limbs. Clin Orthop Relat Res 2003;145:193- 201.
- Andrews M, Noyes F, Hewitt T, Andriacchi T. Lower limb alignment and foot angle are related to stance phase adduction in normal subjects: a critical analysis of the reliability of gait analysis data. J Orthop Res 1996;14: 289 –95.
- Pollo F.E., Otis J.C., Backus S.I., et al. Reduction of medial compartment loads with valgus bracing of the osteoarthritic knee. Am J Sport Med 2002;30:414- 421.
- McKean K.A.,Landry S.C.,Hubley- Kozey C.L.,Dunbar M.J., Stanish W.D., Deluzio K.J. Gender differences exist in osteoarthritic gait Clin Biomech 2007 ; 22 : 400- 409.
- Levinger et al. Journal of Foot and Ankle Research 2010, 3:29.
- McWilliams DF, Doherty S, Maciewicz RA, Muir KR, Zhang W, and Doherty M: Self- reported knee and foot alignments in early adult life and risk of osteoarthritis. Arthritis Care Res (Hoboken) 2010, 62:489- 495.
- Sharma L, Song J, Dunlop D, Felson D, Lewis CE, Segal N, Torner J, Cooke TD, Hietpas J, Lynch J, Nevitt M: Varus and valgus alignment and incident and progressive knee osteoarthritis. Ann Rheum Dis 2010, 69:1940- 1945.
- Van Gheluwe B, Kirby KA, Hagman F: Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait. J Am Podiatr Med Assoc 2005, 95:531- 541.
- De Doncker E, Kowalski C Le pied normal et pathologique. Notions d'anatomie, de physiologie et de pathologie des déformations du pied. Acta Orthop Belg 1970; 36 : 383- 559
References
Petersson I.F.,Jacobsson L.T. Osteoarthritis of the peripheral joints Best Pract.Res.Clin.Rheumatol.,16(2002),pp 741-760.
Oliviera SA, Felson DT, Reed JL, Cirillo PA, Walker AM. Incidence of sympromatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization. Arthritis Rheum 1995; 38 : 1134-41.
Oniankitan. O, Fianyo. E, Mijiyawa. M. Gonarthrose en consultation rhumatologique à Lomé (TOGO). Mali Médical 2009; 25 (2): 4-6
Doualla-Bija. M, Luma. H N, Temfack. E, Gueleko. E T, Kempta. F, Ngandeu. M. (2014). Patterns of knee osteoarthritis in a hospital setting in sub-Saharan Africa. Clinical Rheumatology; 34(11): 1949-53.
Ouédraogo. DD, Ntsiba. H, Tiendréogo-Zabsonré. J, Tiéno. H, Bokossa. L I, Kaboré. F, Drabo. J. Clinical spectrum of rheumatologic diseases in a department of rheumatology in Ouagadougou (Burkina Faso). Clinical Rheumatology 2014; 33(3): 385-9.
Sharma. L, Kapoor. D, Issa. S. (2006). Epidemiology of osteoarthritis: an update. Current Opinion in Rheumatology; 18(2): 147-56.
Jordan K.M., Arden N.K., Doherty M., et al. EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing committee for international clinical studies including therapeutic trials (ESCISIT) Ann.Rheum Dis 2003 ; 62 : 1145-1155
Pendleton A., Arden N., Dougados M., et al. EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT) Ann.Rheum Dis 2000 ; 59 : 936-944.
A. Gélis, E. Coudeyre, P. Aboukrat, P. Cros, C. Hérisson, J. Pélissier, Orthèses plantaires et gonarthrose : évaluation des effets biomécaniques et cliniques à partir d'une revue de la littérature, Annales de réadaptation et de médecine physique Volume 48, numéro 9 pages 682-689 (décembre 2005).
Altman. R, Asch. E, Bloch. D, Bole. G, Borenstein. D, Brandt. K et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and therapeutic criteria committee of the American rheumatism association. Arthritis and Rheumatism; 29(8): 1039-49.
Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomech (Bristol, Avon) 2006;21:89- 98.
Felson D.T., Lawrence R.C., Dieppe P.A., et al. Osteoarthritis: new insights. Part 1: the disease and its risk factors Ann intern Med 2000; 133: 635- 646.
Davis M.A., Ettinger W.H., Neuhaus J.M. The role of metabolic factors and blood pressure in the association of obesity with osteoarthritis of the knee Rheumatol 1988; 15: 1827- 1832.
World Health Organization (WHO). https://WWW.Who.int.
Felson D.T., Anderson J.J., Naimark A., et al. Obesity and knee osteoarthritis. The Framingham study. Ann Intern Med 1988 ; 109 : 18- 24.
Hart D.J., Doyle D.V., Spector T.D. Incidence and risk factors for radiographic knee osteoarthritis in middle- aged women: the Chingford study. Arthritis Rheum1999 ; 42 : 17- 24.
Felson D.T., Lawrence R.C., Hochberg M.C. , et al. Osteoarthritis: new insights. Par treatment approaches. Ann Intern Med 2000 ; 133 : 726- 737.
Felson D.T.,Zhang Y.,Hannan M.T.,etal. Risk factors for incident radiographic knee osteoarthritis in the elderly: the Framingham study. Arthritis Rheum 1997 ; 40 : 728- 733.
Hochberg M.C., Lethbridge- Cejku M., Tobin J.D. Bone mineral density and osteoarthritis: data from the Baltimore longitudinal study of aging. Osteoarthritis cartilage 2004; 12 (Suppl. A): S45- S48.
Wang Y., Simpson J.A., Wluka A.E. , et al. Relationship between body adiposity measures and risk of primary knee and hip replacement for osteoarthritis: a prospective cohort study. Arthritis Res Ther 2009 ; 11 : R31.
Chao E.Y., Neluheni E.V., Hsu R.W., Paley D. Biomechanics of malalignment . Orthop Clin North Am 1994 ; 25 (3) : 379-386.
Janakiramanan N., Teichtahl A.J., Wluka A.E., Ding C., Jones G., Davis S.R., et al. Static knee alignment is associated with the risk of unicompartmental knee cartilage defects J Orthop Res 2008 ; 26 (2) : 225- 230.
Gougeon F., Traitement de la gonarthrose associée au genu valgum (options thérapeutiques) Conférences d'enseignement 2009 (n °98) Chapitre 6.
Reilly K, Barker K, Shamley D, Sandall S. Influence of foot characteristics on the site of lower limb osteoarthritis. Foot Ankle Int 2006;27:206–211.
Redmond A, Crosbie J, Ouvrier R. Development and validation of a novel rating system for scoring standing foot posture: the foot posture index. Clin Biomech 2006;21:89 –98.
Noakes H, Payne C. The reliability of the manual supination resistance test. J Am Podiatr Med Assoc 2003;93:185 –9.
Reilly K, Barker K, Shamley D, Sandall S: Influence of foot characteristics on the site of lower limb osteoarthritis. Foot Ankle Int 2006, 27:206- 211.
Guichet J- M, Javed A, Russell J, Sahel M. Effect of the foot on the mechanical alignment of the lower limbs. Clin Orthop Relat Res 2003;145:193- 201.
Andrews M, Noyes F, Hewitt T, Andriacchi T. Lower limb alignment and foot angle are related to stance phase adduction in normal subjects: a critical analysis of the reliability of gait analysis data. J Orthop Res 1996;14: 289 –95.
Pollo F.E., Otis J.C., Backus S.I., et al. Reduction of medial compartment loads with valgus bracing of the osteoarthritic knee. Am J Sport Med 2002;30:414- 421.
McKean K.A.,Landry S.C.,Hubley- Kozey C.L.,Dunbar M.J., Stanish W.D., Deluzio K.J. Gender differences exist in osteoarthritic gait Clin Biomech 2007 ; 22 : 400- 409.
Levinger et al. Journal of Foot and Ankle Research 2010, 3:29.
McWilliams DF, Doherty S, Maciewicz RA, Muir KR, Zhang W, and Doherty M: Self- reported knee and foot alignments in early adult life and risk of osteoarthritis. Arthritis Care Res (Hoboken) 2010, 62:489- 495.
Sharma L, Song J, Dunlop D, Felson D, Lewis CE, Segal N, Torner J, Cooke TD, Hietpas J, Lynch J, Nevitt M: Varus and valgus alignment and incident and progressive knee osteoarthritis. Ann Rheum Dis 2010, 69:1940- 1945.
Van Gheluwe B, Kirby KA, Hagman F: Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait. J Am Podiatr Med Assoc 2005, 95:531- 541.
De Doncker E, Kowalski C Le pied normal et pathologique. Notions d'anatomie, de physiologie et de pathologie des déformations du pied. Acta Orthop Belg 1970; 36 : 383- 559