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Research ArticleOther Arthritides

The Relationship Between Physical Examination and Ultrasonography of Large Entheses of the Achilles Tendon and Patellar Tendon Origin

Sibel Zehra Aydin, Sibel Bakirci, Esen Kasapoglu, Concepcion Castillo-Gallego, Fatıma Arslan Alhussain, Zoe R. Ash, Esra Kurum, Dennis McGonagle, Helena Marzo-Ortega, Dafna Gladman and Lihi Eder
The Journal of Rheumatology July 2020, 47 (7) 1026-1030; DOI: https://doi.org/10.3899/jrheum.190169
Sibel Zehra Aydin
From the University of Ottawa Faculty of Medicine, Ottawa Hospital Research Institute, Department of Internal Medicine, Division of Rheumatology, Ottawa, Ontario, Canada; Istanbul Medeniyet University, Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey; Complejo Hospitalario Torrecárdenas, Department of Internal Medicine, Division of Rheumatology, Almería, Spain; UK National Institute for Health Research (NIHR) Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK; University of California, Department of Statistics, Riverside, California, USA; University of Toronto, Department of Internal Medicine, Division of Rheumatology, Krembil Research Institute, Toronto Western Hospital; University of Toronto, Women’s College Research Institute, Women’s College Hospital, Rheumatology, Toronto, Ontario, Canada.
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  • For correspondence: saydin@toh.ca
Sibel Bakirci
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Esen Kasapoglu
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Concepcion Castillo-Gallego
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Fatıma Arslan Alhussain
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Zoe R. Ash
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Esra Kurum
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Dennis McGonagle
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Helena Marzo-Ortega
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Dafna Gladman
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Lihi Eder
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Abstract

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.

Key Indexing Terms:
  • ULTRASOUND
  • PHYSICAL EXAMINATION
  • ENTHESOPATHY

Footnotes

  • This research is supported by the NIHR Leeds Biomedical Research Centre. The views expressed are those of the author(s) and not necessarily those of the UK National Health Service, the NIHR, or the UK Department of Health.

  • Accepted for publication August 22, 2019.
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The Journal of Rheumatology
Vol. 47, Issue 7
1 Jul 2020
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The Relationship Between Physical Examination and Ultrasonography of Large Entheses of the Achilles Tendon and Patellar Tendon Origin
Sibel Zehra Aydin, Sibel Bakirci, Esen Kasapoglu, Concepcion Castillo-Gallego, Fatıma Arslan Alhussain, Zoe R. Ash, Esra Kurum, Dennis McGonagle, Helena Marzo-Ortega, Dafna Gladman, Lihi Eder
The Journal of Rheumatology Jul 2020, 47 (7) 1026-1030; DOI: 10.3899/jrheum.190169

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The Relationship Between Physical Examination and Ultrasonography of Large Entheses of the Achilles Tendon and Patellar Tendon Origin
Sibel Zehra Aydin, Sibel Bakirci, Esen Kasapoglu, Concepcion Castillo-Gallego, Fatıma Arslan Alhussain, Zoe R. Ash, Esra Kurum, Dennis McGonagle, Helena Marzo-Ortega, Dafna Gladman, Lihi Eder
The Journal of Rheumatology Jul 2020, 47 (7) 1026-1030; DOI: 10.3899/jrheum.190169
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Keywords

ULTRASOUND
PHYSICAL EXAMINATION
ENTHESOPATHY

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