Although RA usually affects the metacarpophalangeal, proximal interphalangeal and metatarsophalangeal joints
, it can also affect other joints.
The first attack occurred in the first metatarsophalangeal joints
(MTP1) of the left foot in August 2010 and was relieved gradually.
* 1 to 3 small joints (metacarpophalangeal [MCP] joints, proximal interphalangeal [PIP] joints, 2nd5th metatarsophalangeal joints
, thumb interphalangeal joints, wrists)=2 points
The 69-joint count included the hip, knee, ankle, metatarsophalangeal joints
, and phalanges of the feet but not the subtalar and midfoot joints and did not distinguish between distal and proximal phalangeal joints.
Caption: Figure 3: T2-weighted axial image of MRI of left foot without contrast, showing increased signals in soft tissues (compatible with cellulitis), as well as deep-seated multilocular collection at Lisfranc's joints and second metatarsophalangeal joints
Clinical tests include the dorsiflexion-eversion provocative manoeuvre in which the tibial nerve is compressed by positioning the ankle in passively maximally eversion and dorsiflexion while all of the metatarsophalangeal joints
are maximally dorsiflexed and held in this position for five to ten seconds .
Clinical examination revealed swelling of the second and third metatarsophalangeal joints
and tenderness of all of the right metatarsophalangeal joints
The radiographic anatomy of the normal ovine digit, the metacarpophalangeal and metatarsophalangeal joints
. Vet Res Commun.
Necrosis and infection involving subcutaneous tissue, phalanges, and interphalangeal and metatarsophalangeal joints
were observed during wound debridement, and a partial internal ray amputation of the first toe was performed.
Ostergaard, "Ultrasonography of the metatarsophalangeal joints
in rheumatoid arthritis: comparison with magnetic resonance imaging, conventional radiography, and clinical examination," Arthritis and Rheumatism, vol.
In particular, the IP, metacarpophalangeal and metatarsophalangeal joints
had bony enlargements, mild tenderness and flexion contractures; however, no signs of inflammation like redness, effusion, or other signs of synovitis (Figure1).