TY - JOUR T1 - The relationship between physical examination and ultrasonography for large entheses is best for the Achilles tendon and patellar tendon origin JF - The Journal of Rheumatology JO - J Rheumatol DO - 10.3899/jrheum.190169 SP - jrheum.190169 AU - Sibel Zehra Aydin AU - Sibel Bakirci AU - Esen Kasapoglu AU - Concepcion Castillo-Gallego AU - Fatıma Arslan Alhussain AU - Zoe R Ash AU - Esra Kurum AU - Dennis McGonagle AU - Helena Marzo-Ortega AU - Dafna Gladman AU - Lihi Eder Y1 - 2019/09/01 UR - http://www.jrheum.org/content/early/2019/08/25/jrheum.190169.abstract N2 - Objective To investigate the relationship between physical examination (PE) and sonographic features of enthesitis, based on anatomical sites. Methods The analysis was done using merged raw data of 3 studies on 2298 entheses. Results Patients with clinical Achilles enthesitis had more abnormalities on ultrasound (hypoechogenicity (p<0.001), thickening (p=0.01), Doppler (p=0.002) and erosions (p=0.02). The patellar tendon origin also correlated with PE but distal patellar tendon insertion and plantar aponeurosis were uncoupled from the ultrasound. Conclusion The relationship between clinical and sonographic findings for large entheses is dependent on the anatomical site and is best for the Achilles tendon and patellar tendon origin. ER -