Involvement of atlanto-axial joint in rheumatoid arthritis: Rare or frequent?
Identifieur interne : 002687 ( Istex/Corpus ); précédent : 002686; suivant : 002688Involvement of atlanto-axial joint in rheumatoid arthritis: Rare or frequent?
Auteurs : M. Montemerani ; C. Venturi ; S. Bracco ; G. Coviello ; C. Minari ; A. Fioravanti ; R. MarcolongoSource :
- Clinical Rheumatology [ 0770-3198 ] ; 1994-09-01.
English descriptors
- KwdEn :
- Teeft :
- Anterior subluxation, Arthritis, Arthritis rheum, Axial scan, Bone structure, Cervical, Cervical spine, Clinical symptoms, Computerized tomography, Conventional radiography, Coronal reformat, Foramen magnum, Lesion, Neurological examination, Normal position, Normal range, Odontoid process, Peripheral joints, Radiography, Radiologic review, Rheum, Rheumatoid, Rheumatoid arthritis, Rheumatol, Severe lesions, Statistical analysis, Subcutaneous nodules, Subluxation, Upper limbs, Vertical subluxation.
Abstract
Summary: The authors studied the incidence of atlanto-axial joint involvement by conventional radiography and CT in 183 patients with classical or definite rheumatoid arthritis (RA). In determining lesions the significance of factors such as age, sex, duration and severity of the disease was evaluated. Atlanto-axial subluxations turned out to be quite frequent (30%) in the series of patients examined and were directly correlated with age, duration and stage of the disease, and extra-articular manifestations. Clinical symptoms were evident in only 70.9% of cases, confirming the correlation reported by other authors between clinical manifestations and radiologically observed lesions. Traditional radiography performed in the dynamic position revealed a prevalence of anterior subluxation, whereas CT gave a precise indication of the entity and type of atlanto-axial lesion. In conclusion, the authors confirm the importance of such investigations in all patients with RA, even those without evident clinical manifestations. They also emphasize the necessity of periodic monitoring in view of the possible risk of mortality in these patients.
Url:
DOI: 10.1007/BF02242943
Links to Exploration step
ISTEX:253C5BD2F3A66C9D004BC82C7BC407B472CA1E96Le document en format XML
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Bracco</name><affiliation><mods:affiliation>U.O. of Neuroradiology, USL 30, Siena</mods:affiliation></affiliation></author><author><name sortKey="Coviello, G" sort="Coviello, G" uniqKey="Coviello G" first="G." last="Coviello">G. Coviello</name><affiliation><mods:affiliation>U.O. of Radiology, USL 30, Siena, Italy</mods:affiliation></affiliation></author><author><name sortKey="Minari, C" sort="Minari, C" uniqKey="Minari C" first="C." last="Minari">C. Minari</name><affiliation><mods:affiliation>Institute of Rheumatology, University of Siena, Italy</mods:affiliation></affiliation></author><author><name sortKey="Fioravanti, A" sort="Fioravanti, A" uniqKey="Fioravanti A" first="A." last="Fioravanti">A. Fioravanti</name><affiliation><mods:affiliation>Institute of Rheumatology, University of Siena, Italy</mods:affiliation></affiliation></author><author><name sortKey="Marcolongo, R" sort="Marcolongo, R" uniqKey="Marcolongo R" first="R." last="Marcolongo">R. 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Montemerani</name><affiliation><mods:affiliation>Institute of Rheumatology, University of Siena, Italy</mods:affiliation></affiliation></author><author><name sortKey="Venturi, C" sort="Venturi, C" uniqKey="Venturi C" first="C." last="Venturi">C. Venturi</name><affiliation><mods:affiliation>U.O. of Neuroradiology, USL 30, Siena</mods:affiliation></affiliation></author><author><name sortKey="Bracco, S" sort="Bracco, S" uniqKey="Bracco S" first="S." last="Bracco">S. Bracco</name><affiliation><mods:affiliation>U.O. of Neuroradiology, USL 30, Siena</mods:affiliation></affiliation></author><author><name sortKey="Coviello, G" sort="Coviello, G" uniqKey="Coviello G" first="G." last="Coviello">G. Coviello</name><affiliation><mods:affiliation>U.O. of Radiology, USL 30, Siena, Italy</mods:affiliation></affiliation></author><author><name sortKey="Minari, C" sort="Minari, C" uniqKey="Minari C" first="C." last="Minari">C. Minari</name><affiliation><mods:affiliation>Institute of Rheumatology, University of Siena, Italy</mods:affiliation></affiliation></author><author><name sortKey="Fioravanti, A" sort="Fioravanti, A" uniqKey="Fioravanti A" first="A." last="Fioravanti">A. Fioravanti</name><affiliation><mods:affiliation>Institute of Rheumatology, University of Siena, Italy</mods:affiliation></affiliation></author><author><name sortKey="Marcolongo, R" sort="Marcolongo, R" uniqKey="Marcolongo R" first="R." last="Marcolongo">R. Marcolongo</name><affiliation><mods:affiliation>Institute of Rheumatology, University of Siena, Italy</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Clinical Rheumatology</title><title level="j" type="abbrev">Clin Rheumatol</title><idno type="ISSN">0770-3198</idno><idno type="eISSN">1434-9949</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>London</pubPlace><date type="published" when="1994-09-01">1994-09-01</date><biblScope unit="volume">13</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="459">459</biblScope><biblScope unit="page" to="463">463</biblScope></imprint><idno type="ISSN">0770-3198</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0770-3198</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Atlanto-axial Joint</term><term>Computerized Tomography</term><term>Rheumatoid Arthritis</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Anterior subluxation</term><term>Arthritis</term><term>Arthritis rheum</term><term>Axial scan</term><term>Bone structure</term><term>Cervical</term><term>Cervical spine</term><term>Clinical symptoms</term><term>Computerized tomography</term><term>Conventional radiography</term><term>Coronal reformat</term><term>Foramen magnum</term><term>Lesion</term><term>Neurological examination</term><term>Normal position</term><term>Normal range</term><term>Odontoid process</term><term>Peripheral joints</term><term>Radiography</term><term>Radiologic review</term><term>Rheum</term><term>Rheumatoid</term><term>Rheumatoid arthritis</term><term>Rheumatol</term><term>Severe lesions</term><term>Statistical analysis</term><term>Subcutaneous nodules</term><term>Subluxation</term><term>Upper limbs</term><term>Vertical subluxation</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Summary: The authors studied the incidence of atlanto-axial joint involvement by conventional radiography and CT in 183 patients with classical or definite rheumatoid arthritis (RA). In determining lesions the significance of factors such as age, sex, duration and severity of the disease was evaluated. Atlanto-axial subluxations turned out to be quite frequent (30%) in the series of patients examined and were directly correlated with age, duration and stage of the disease, and extra-articular manifestations. Clinical symptoms were evident in only 70.9% of cases, confirming the correlation reported by other authors between clinical manifestations and radiologically observed lesions. Traditional radiography performed in the dynamic position revealed a prevalence of anterior subluxation, whereas CT gave a precise indication of the entity and type of atlanto-axial lesion. In conclusion, the authors confirm the importance of such investigations in all patients with RA, even those without evident clinical manifestations. 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Marcolongo</name><affiliations><json:string>Institute of Rheumatology, University of Siena, Italy</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Rheumatoid Arthritis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Computerized Tomography</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Atlanto-axial Joint</value></json:item></subject><articleId><json:string>BF02242943</json:string><json:string>Art7</json:string></articleId><arkIstex>ark:/67375/1BB-V62PH8VF-1</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>OriginalPaper</json:string></originalGenre><abstract>Summary: The authors studied the incidence of atlanto-axial joint involvement by conventional radiography and CT in 183 patients with classical or definite rheumatoid arthritis (RA). In determining lesions the significance of factors such as age, sex, duration and severity of the disease was evaluated. Atlanto-axial subluxations turned out to be quite frequent (30%) in the series of patients examined and were directly correlated with age, duration and stage of the disease, and extra-articular manifestations. Clinical symptoms were evident in only 70.9% of cases, confirming the correlation reported by other authors between clinical manifestations and radiologically observed lesions. Traditional radiography performed in the dynamic position revealed a prevalence of anterior subluxation, whereas CT gave a precise indication of the entity and type of atlanto-axial lesion. In conclusion, the authors confirm the importance of such investigations in all patients with RA, even those without evident clinical manifestations. 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of Siena, Italy</affiliation></author><author xml:id="author-0001"><persName><forename type="first">C.</forename><surname>Venturi</surname></persName><affiliation>U.O. of Neuroradiology, USL 30, Siena</affiliation></author><author xml:id="author-0002"><persName><forename type="first">S.</forename><surname>Bracco</surname></persName><affiliation>U.O. of Neuroradiology, USL 30, Siena</affiliation></author><author xml:id="author-0003"><persName><forename type="first">G.</forename><surname>Coviello</surname></persName><affiliation>U.O. of Radiology, USL 30, Siena, Italy</affiliation></author><author xml:id="author-0004"><persName><forename type="first">C.</forename><surname>Minari</surname></persName><affiliation>Institute of Rheumatology, University of Siena, Italy</affiliation></author><author xml:id="author-0005"><persName><forename type="first">A.</forename><surname>Fioravanti</surname></persName><affiliation>Institute of Rheumatology, University of Siena, Italy</affiliation></author><author xml:id="author-0006"><persName><forename type="first">R.</forename><surname>Marcolongo</surname></persName><affiliation>Institute of Rheumatology, University of Siena, Italy</affiliation></author><idno type="istex">253C5BD2F3A66C9D004BC82C7BC407B472CA1E96</idno><idno type="ark">ark:/67375/1BB-V62PH8VF-1</idno><idno type="DOI">10.1007/BF02242943</idno><idno type="article-id">BF02242943</idno><idno type="article-id">Art7</idno></analytic><monogr><title level="j">Clinical Rheumatology</title><title level="j" type="abbrev">Clin Rheumatol</title><idno type="pISSN">0770-3198</idno><idno type="eISSN">1434-9949</idno><idno type="journal-ID">true</idno><idno type="issue-article-count">27</idno><idno type="volume-issue-count">4</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>London</pubPlace><date type="published" when="1994-09-01"></date><biblScope unit="volume">13</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" 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In determining lesions the significance of factors such as age, sex, duration and severity of the disease was evaluated. Atlanto-axial subluxations turned out to be quite frequent (30%) in the series of patients examined and were directly correlated with age, duration and stage of the disease, and extra-articular manifestations. Clinical symptoms were evident in only 70.9% of cases, confirming the correlation reported by other authors between clinical manifestations and radiologically observed lesions. Traditional radiography performed in the dynamic position revealed a prevalence of anterior subluxation, whereas CT gave a precise indication of the entity and type of atlanto-axial lesion. In conclusion, the authors confirm the importance of such investigations in all patients with RA, even those without evident clinical manifestations. They also emphasize the necessity of periodic monitoring in view of the possible risk of mortality in these patients.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Key words</head><item><term>Rheumatoid Arthritis</term></item><item><term>Computerized Tomography</term></item><item><term>Atlanto-axial Joint</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Rheumatology</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1993-07-08">Created</change><change when="1994-09-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/1BB-V62PH8VF-1/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus springer-journals not found" wicri:toSee="no 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Originals</ArticleCategory><ArticleFirstPage>459</ArticleFirstPage><ArticleLastPage>463</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2005</Year><Month>10</Month><Day>17</Day></RegistrationDate><Received><Year>1993</Year><Month>7</Month><Day>8</Day></Received><Accepted><Year>1993</Year><Month>12</Month><Day>24</Day></Accepted></ArticleHistory><ArticleCopyright><CopyrightHolderName>Clinical Rheumatology</CopyrightHolderName><CopyrightYear>1994</CopyrightYear></ArticleCopyright><ArticleGrants Type="Regular"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant 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DisplayOrder="Western"><GivenName>C.</GivenName><FamilyName>Minari</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>A.</GivenName><FamilyName>Fioravanti</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>R.</GivenName><FamilyName>Marcolongo</FamilyName></AuthorName></Author><Affiliation ID="Aff1"><OrgDivision>Institute of Rheumatology</OrgDivision><OrgName>University of Siena</OrgName><OrgAddress><Country>Italy</Country></OrgAddress></Affiliation><Affiliation ID="Aff2"><OrgName>U.O. of Neuroradiology</OrgName><OrgAddress><Street>USL 30</Street><City>Siena</City></OrgAddress></Affiliation><Affiliation ID="Aff3"><OrgName>U.O. of Radiology</OrgName><OrgAddress><Street>USL 30</Street><City>Siena</City><Country>Italy</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Summary</Heading><Para>The authors studied the incidence of atlanto-axial joint involvement by conventional radiography and CT in 183 patients with classical or definite rheumatoid arthritis (RA). In determining lesions the significance of factors such as age, sex, duration and severity of the disease was evaluated. Atlanto-axial subluxations turned out to be quite frequent (30%) in the series of patients examined and were directly correlated with age, duration and stage of the disease, and extra-articular manifestations. Clinical symptoms were evident in only 70.9% of cases, confirming the correlation reported by other authors between clinical manifestations and radiologically observed lesions.</Para><Para>Traditional radiography performed in the dynamic position revealed a prevalence of anterior subluxation, whereas CT gave a precise indication of the entity and type of atlanto-axial lesion.</Para><Para>In conclusion, the authors confirm the importance of such investigations in all patients with RA, even those without evident clinical manifestations. They also emphasize the necessity of periodic monitoring in view of the possible risk of mortality in these patients.</Para></Abstract><KeywordGroup Language="En"><Heading>Key words</Heading><Keyword>Rheumatoid Arthritis</Keyword><Keyword>Computerized Tomography</Keyword><Keyword>Atlanto-axial Joint</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Involvement of atlanto-axial joint in rheumatoid arthritis: Rare or frequent?</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Involvement of atlanto-axial joint in rheumatoid arthritis: Rare or frequent?</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="termsOfAddress">Dr.</namePart><namePart type="given">M.</namePart><namePart type="family">Montemerani</namePart><affiliation>Institute of Rheumatology, University of Siena, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Venturi</namePart><affiliation>U.O. of Neuroradiology, USL 30, Siena</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Bracco</namePart><affiliation>U.O. of Neuroradiology, USL 30, Siena</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G.</namePart><namePart type="family">Coviello</namePart><affiliation>U.O. of Radiology, USL 30, Siena, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Minari</namePart><affiliation>Institute of Rheumatology, University of Siena, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Fioravanti</namePart><affiliation>Institute of Rheumatology, University of Siena, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R.</namePart><namePart type="family">Marcolongo</namePart><affiliation>Institute of Rheumatology, University of Siena, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">London</placeTerm></place><dateCreated encoding="w3cdtf">1993-07-08</dateCreated><dateIssued encoding="w3cdtf">1994-09-01</dateIssued><copyrightDate encoding="w3cdtf">1994</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Summary: The authors studied the incidence of atlanto-axial joint involvement by conventional radiography and CT in 183 patients with classical or definite rheumatoid arthritis (RA). In determining lesions the significance of factors such as age, sex, duration and severity of the disease was evaluated. Atlanto-axial subluxations turned out to be quite frequent (30%) in the series of patients examined and were directly correlated with age, duration and stage of the disease, and extra-articular manifestations. Clinical symptoms were evident in only 70.9% of cases, confirming the correlation reported by other authors between clinical manifestations and radiologically observed lesions. Traditional radiography performed in the dynamic position revealed a prevalence of anterior subluxation, whereas CT gave a precise indication of the entity and type of atlanto-axial lesion. In conclusion, the authors confirm the importance of such investigations in all patients with RA, even those without evident clinical manifestations. They also emphasize the necessity of periodic monitoring in view of the possible risk of mortality in these patients.</abstract><note>Bookreviews Originals</note><subject lang="en"><genre>Key words</genre><topic>Rheumatoid Arthritis</topic><topic>Computerized Tomography</topic><topic>Atlanto-axial Joint</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Rheumatology</title></titleInfo><titleInfo type="abbreviated"><title>Clin Rheumatol</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">1994-09-01</dateIssued><copyrightDate encoding="w3cdtf">1994</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Rheumatology</topic></subject><identifier type="ISSN">0770-3198</identifier><identifier type="eISSN">1434-9949</identifier><identifier type="JournalID">10067</identifier><identifier type="IssueArticleCount">27</identifier><identifier type="VolumeIssueCount">4</identifier><part><date>1994</date><detail type="volume"><number>13</number><caption>vol.</caption></detail><detail type="issue"><number>3</number><caption>no.</caption></detail><extent unit="pages"><start>459</start><end>463</end></extent></part><recordInfo><recordOrigin>Clinical Rheumatology, 1994</recordOrigin></recordInfo></relatedItem><identifier type="istex">253C5BD2F3A66C9D004BC82C7BC407B472CA1E96</identifier><identifier type="ark">ark:/67375/1BB-V62PH8VF-1</identifier><identifier type="DOI">10.1007/BF02242943</identifier><identifier type="ArticleID">BF02242943</identifier><identifier type="ArticleID">Art7</identifier><accessCondition type="use and reproduction" contentType="copyright">Clinical Rheumatology, 1994</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>Clinical Rheumatology, 1994</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/1BB-V62PH8VF-1/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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