[Radiographic study of the XXXX and etiopathogenic mechanisms of deformities. Apropos of 100 cases].

@entity1 @entity75 @entity79 @entity85 @entity309
X-rays of the hands and wrists of 100 @entity1 suffering from @entity309 ( @entity309 ) were compared to those of 65 control subjects matched for age and sex. Osteoarticular destruction was assessed using Larsen's index and by carpal @entity79 ; ulnar deviation of the fingers (UDF) and @entity79 ( @entity79 ). No significant asymmetry of lesions in the right or left hands can be demonstrated, whatever the subsets of @entity1 and osteoarticular manifestations studied. After a one year course, there is no significant difference between @entity1 and control subjects. Only the index of @entity85 is significantly high and the clinical course progresses between 1 and 5 years (p = 0.02). The difference becomes significant for UDF (p less than 0.01) after the disease evolves for 5 to 10 yrs. UDF is correlated with @entity75 (p = 0.01) and metacarpophalangeal lesions (MCP). Different @entity75 of the hand are correlated with each other. The close correlation between UDF and @entity79 and MCP involvement has been confirmed by various statistical tests. Comparison of seropositive and seronegative @entity1 with @entity309 only reveals a more marked disturbance of MCP in the seropositive @entity1 . Various methods of assessing @entity85 and joint destruction are discussed. Finally, the etiopathogenic mechanisms causing deformities of the hand in @entity309 were studied, and the authors reviewed the importance of the initial involvement of soft tissues and therapeutic implications whereby prevention of disease extension using prompt local therapy is recommended.
