{"title":"Assessment of flexor tenosynovitis in rheumatoid arthritis.","authors":"D I Macauley, D M Evans, B M Ansell","doi":"10.1093/rheumatology/20.1.25","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.25","url":null,"abstract":"<p><p>Assessment of the effect of therapy-physical, surgical, or local corticosteroid injections-in the management of rheumatoid flexor tenosynotivitis has proved difficult. This paper describes a simple, accurate and reproducible method of documentation using a photocopying technique. Its application to a study of the role of hydrocortisone injections in the management of flexor tenosynovitis is presented.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.25","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18236295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Idiopathic protrusio acetabuli in juveniles.","authors":"A Shore, D Macauley, B M Ansell","doi":"10.1093/rheumatology/20.1.1","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.1","url":null,"abstract":"<p><p>Eight children, aged 9 to 15, referred to a juvenile rheumatology service on account of undiagnosed hip pain, were ultimately found to have idiopathic protrusio acetabuli (IPA). Clinical and radiographic findings were generally asymmetrical on presentation. Subsequent radiographs tended to lag behind a rapid deterioration in six patients, four of whom required bilateral total hip replacement during adolescence. Pain on full flexion and moderate adductor spasm in the contra-lateral hip proved a useful early sign for predicting bilateral disease. Six of eight patients were hypermobile. In three of five families investigated, symptom-free IPA was revealed in one or more first degree relatives. Histology early in the course in two cases showed a non-diagnostic inflammatory reaction in the sub-synovium.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18235233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hepatic injury following feprazone therapy.","authors":"J Wiggins, D L Scott","doi":"10.1093/rheumatology/20.1.44","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.44","url":null,"abstract":"<p><p>Two cases of feprazone-induced hepatic injury are reported. Both patients developed jaundice within one month of commencing therapy. Histological investigation showed a granulomatous reaction in one case and hepatitic changes in the other. The changes were similar to those seen as a complication of phenylbutazone therapy. When the administration of feprazone was discontinued both the clinical and biochemical changes were resolved.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"44-5"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.44","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17511188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Isoxepac in rheumatoid arthritis: a double-blind comparison with aspirin.","authors":"L S Gerlis, J M Gumpel","doi":"10.1093/rheumatology/20.1.50","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.50","url":null,"abstract":"<p><p>Nineteen patients with rheumatoid arthritis entered a double-blind cross-over study, comparing a new anti-inflammatory agent isoxepac, 200 mg three times daily, with aspirin 1.2 g three times daily. Eighteen patients completed 2-4 weeks treatment with each drug. The treatments were similar when assessed by measurement of joint pain, grip strength, morning stiffness, patients' global assessment and overall preference. Significantly fewer adverse effects were associated with isoxepac therapy when compared with aspirin therapy.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"50-3"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.50","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18061163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Witemeyer, B M Ansell, A Ashburn, J Wall, L Klenerman
{"title":"Gait analysis: a pilot study- a possible mode of assessment of lower limb function in juvenile chronic arthritis.","authors":"S Witemeyer, B M Ansell, A Ashburn, J Wall, L Klenerman","doi":"10.1093/rheumatology/20.1.31","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.31","url":null,"abstract":"<p><p>There is a need for some form of objective assessment of gait which can be used clinically. A method which measures the temporal and distance factors has been employed to assess the gait of patients. Variables have been selected which reflect the gait symmetry and others have been chosen which show the speed of walking and hos this is achieved. The method of presentation of results is discussed with particular attention to the use of these results in monitoring the progress of the patients.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"31-7"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.31","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18236296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H Berry, S P Liyanage, R A Durance, J D Goode, A J Swannell
{"title":"A double-blind study of benorylate and chlormezanone in musculoskeletal disease.","authors":"H Berry, S P Liyanage, R A Durance, J D Goode, A J Swannell","doi":"10.1093/rheumatology/20.1.46","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.46","url":null,"abstract":"<p><p>In a double-blind, cross-over study of 90 patients with degenerative disease of the hip, knee, cervical or lumbar spine, and capsulitis of the shoulder the analgesic drug benorylate (either alone or in combination with chlormezanone, a muscle relaxant anxiolytic drug) favourably modified pain, stiffness, quality of sleep and ability to work. Chlormezanone significantly reduced the number of breaks in sleep. There was no significant difference in the number of patients reporting side-effects on each of the four treatments, but drowsiness occurred significantly more in the chlormezanone weeks. There appeared to be no advantage in adding chlormezanone in patients suffering from osteoarthritis of the hip or knee, lumbar spondylosis or capsulitis of the shoulder, but there was significant improvement in both pain relief and quality of sleep in those patients with neck pain.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"46-9"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.46","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17178817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic sarcoid arthritis.","authors":"C Feldman","doi":"10.1093/rheumatology/20.1.18","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.18","url":null,"abstract":"<p><p>Sarcoidosis can involve almost any organ or tissue. The outcome may be clinical recovery with radiographic evidence of residua, impairment of function of organs involved, or a continued chronic course. This report is a patient who presented with chronic sarcoid arthritis without evidence of active disease in other organs, 20 years after sarcoidosis had been diagnosed. The clinical picture superficially resembled rheumatoid disease with keratoconjunctivitis sicca and basal lung fibrosis.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"18-20"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18236293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anti-inflammatory drugs in periarthritis of the shoulder: a double-blind, between-patient study of naproxen versus indomethacin.","authors":"O Duke, E Zecler, R Grahame","doi":"10.1093/rheumatology/20.1.54","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.54","url":null,"abstract":"<p><p>Fifty-nine patients were entered into a double-blind, parallel comparison of the efficacy and side-effects of naproxen sodium (825 mg daily) and indomethacin (100 mg daily) in the treatment of periarthritis of the shoulder joint. Assessments were made on entry to the study, at two weeks, and at the end of four weeks when objective and subjective recordings of mobility, loss of function, pain and the presence of absence of side-effects were noted. The two treatment groups were found to be matched for age, sex and duration of disease, and an assessment at the start of the study differed only in respect of the degree of active medial rotation of the shoulder joint and pain. There was an overall improvement from the time of admission to the study in both the naproxen sodium and the indomethacin treatment groups but there was no significant difference between the efficacy of the two groups. One patient from the naproxen sodium group and three patients from the indomethacin group withdrew from the trial because of side-effects which in each case involved the gastro-intestinal tract.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"54-9"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.54","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18061166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The assessment of disease activity in rheumatoid arthritis using a multivariate analysis.","authors":"R K Mallya, B E Mace","doi":"10.1093/rheumatology/20.1.14","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.14","url":null,"abstract":"<p><p>A simple method of assessing 'index of disease activity' (IDA) in rheumatoid arthritis (RA) using a multivariate analysis (MVA) comprising morning stiffness (MS), pain scale (PS), grip strength (GS), articular index (AI), haemoglobin (Hb) and erythrocyte sedimentation rate (ESR) is described. The IDA of 99 patients with RA was assessed using MVA. The method could be used reliably and readily for random or longitudinal assessment, in drug trials and for comparing disease activity with other objective indices.</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"14-7"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.14","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18236292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of aids and equipment for the bath: II. A possible solution to the problem.","authors":"M A Chamberlain, G Thornley, J Stowe, V Wright","doi":"10.1093/rheumatology/20.1.38","DOIUrl":"https://doi.org/10.1093/rheumatology/20.1.38","url":null,"abstract":"<p><p>One hundred patients needing bath aids is leaving Leeds hospitals in 1978 were randomly allocated into control and treated groups. The former 50 patients received aids through the usual channels, the latter obtained bath aids immediately on discharge and were instructed in their use at home by the peripatetic occupational therapist. All were assessed independently at three to six months. Prompt, correct prescription of aids and supervision of their use in bathing shortly after discharge by a hospital-based occupational therapist resulted in safe bathing by all treated subjects. In contrast, only 82% of controls bathed, 50% of these from the seated position (compared with 90% of the treated group) and only 39% of controls received their aids within two weeks of discharge (compared with 74% of the treated group).</p>","PeriodicalId":76486,"journal":{"name":"Rheumatology and rehabilitation","volume":"20 1","pages":"38-43"},"PeriodicalIF":0.0,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/rheumatology/20.1.38","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18236297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}