RT Journal Article
SR Electronic
T1 The Relationship Between Physical Examination and Ultrasonography of Large Entheses of the Achilles Tendon and Patellar Tendon Origin
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 1026
OP 1030
DO 10.3899/jrheum.190169
VO 47
IS 7
A1 Sibel Zehra Aydin
A1 Sibel Bakirci
A1 Esen Kasapoglu
A1 Concepcion Castillo-Gallego
A1 Fatıma Arslan Alhussain
A1 Zoe R. Ash
A1 Esra Kurum
A1 Dennis McGonagle
A1 Helena Marzo-Ortega
A1 Dafna Gladman
A1 Lihi Eder
YR 2020
UL http://www.jrheum.org/content/47/7/1026.abstract
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.