Value of assessing the fifth metatarsophalangeal joint in patients with early rheumatoid arthritis: Comment on the article by Sheane et al
Article first published online: 28 DEC 2009
Copyright © 2010 by the American College of Rheumatology
Arthritis Care & Research
Volume 62, Issue 1, page 137, 15 January 2010
How to Cite
Alarcón, G. S. and Lopez-Ben, R. (2010), Value of assessing the fifth metatarsophalangeal joint in patients with early rheumatoid arthritis: Comment on the article by Sheane et al. Arthritis Care Res, 62: 137. doi: 10.1002/acr.20025
- Issue published online: 28 DEC 2009
- Article first published online: 28 DEC 2009
To the Editors:
We read with interest the article published in Arthritis Care & Research by Sheane et al on the value of examining by ultrasonography (US) the fifth metatarsophalangeal (MTP) joint for the early diagnosis of rheumatoid arthritis (RA) (1). We fully agree with Sheane et al on the value of examining this joint in patients suspected of having RA. We were, however, surprised that our previously published work was not included on their reference list. Our work indicates that erosive disease was most commonly seen in the fifth MTP of all joints (2). US of the feet revealed erosive changes in 3 patients who had negative US of their hands. One of these patients had no evidence of erosive disease in any of the other joints of the hands or feet usually assessed by radiography. The table included in our previous publication provides the specific numbers.
- 1Targeted ultrasound of the fifth metatarsophalangeal joint in an early inflammatory arthritis cohort. Arthritis Rheum 2009; 61: 1004–8., , , , .
- 2Ultrasound detection of bone erosions in rheumatoid arthritis: a comparison to routine radiographs of the hands and feet. Skeletal Radiol 2004; 33: 80–4., , , .
Graciela S. Alarcón MD, MPH*, Robert Lopez-Ben MD*, * University of Alabama at Birmingham.