PT - JOURNAL ARTICLE 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 TI - The Relationship Between Physical Examination and Ultrasonography of Large Entheses of the Achilles Tendon and Patellar Tendon Origin AID - 10.3899/jrheum.190169 DP - 2019 Sep 01 TA - The Journal of Rheumatology PG - jrheum.190169 4099 - http://www.jrheum.org/content/early/2020/02/23/jrheum.190169.short 4100 - http://www.jrheum.org/content/early/2020/02/23/jrheum.190169.full AB - 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 (US): hypoechogenicity, p < 0.001; thickening, p = 0.001; Doppler signals, 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 US. Conclusion The relationship between clinical and sonographic findings for large entheses is dependent on the anatomical site. For the patellar tendon origin and Achilles entheses, PE is significantly linked to US findings.