Show simple item record

dc.contributor.authorStewart, Sen_NZ
dc.contributor.authorDalbeth, Nen_NZ
dc.contributor.authorVandal, ACen_NZ
dc.contributor.authorRome, Ken_NZ
dc.date.accessioned2016-02-11T20:45:45Z
dc.date.available2016-02-11T20:45:45Z
dc.date.copyright2016-02-12en_NZ
dc.identifier.citationBMC Musuloskeletal Disorders. (2016) 17:69 DOI 10.1186/s12891-016-0919-9en_NZ
dc.identifier.issn1471-2474en_NZ
dc.identifier.urihttp://hdl.handle.net/10292/9512
dc.description.abstractBackground: The aim of this review was to qualitatively synthesise studies that have investigated characteristics of the first metatarsophalangeal joint (1st MTP) in gout and to undertake a meta-analysis to estimate the average prevalence of acute 1st MTP arthritis across studies in people with gout. Methods: Studies published in English were included if they involved participants who had a diagnosis of gout and presented original findings relating to the following outcome measures associated with the 1st MTP: epidemiology; clinical features; structural and functional characteristics; and microscopic and imaging features. Results: Forty-five studies were included in the qualitative synthesis. 1st MTP pain was a prominent feature in people with gout. People with 1st MTP gout reported walking- and general-disability. Structural and functional characteristics of 1st MTP gout included hallux valgus, osteoarthritis, and restricted joint motion. Successful crystal aspiration ranged from 81 to 91 % and positive crystal identification via microscopy ranged from 83 to 93 % in patients with a history of 1st MTP gout. Imaging features were common at the 1st MTP including the double contour sign, tophi and erosions. Eleven studies involving 2,325 participants were included in the meta-analysis, providing an estimate of the average prevalence of acute 1st MTP arthritis across studies of 73 % (95 % prediction interval 40–92 %; range 48–97 %; I2 = 93 %). Conclusions: 1st MTP acute arthritis is highly prevalent in people with gout and has a substantial impact on patient-reported pain and disability. Gout affects the structure and function of the 1st MTP. Microscopic and imaging studies have demonstrated crystal deposition and joint damage at the 1st MTP in people with gout.
dc.publisherBioMed Central
dc.rights© 2016 Stewart et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
dc.subjectFirst metatarsophalangeal joint; Gout
dc.titleThe first metatarsophalangeal joint in gout: a systematic review and meta analysisen_NZ
dc.typeJournal Article
dc.rights.accessrightsOpenAccessen_NZ
dc.identifier.doi10.1186/s12891-016-0919-9
pubs.elements-id198081


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record