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

被引：16

作者：

Aydin, Sibel Zehra ^{[1
]}

Bakirci, Sibel ^{[8
]}

Kasapoglu, Esen ^{[2
]}

Castillo-Gallego, Concepcion ^{[3
]}

Alhussain, Fatima Arslan ^{[9
]}

Ash, Zoe R. ^{[4
,10
]}

Kurum, Esra ^{[5
]}

McGonagle, Dennis ^{[4
,10
]}

Marzo-Ortega, Helena ^{[4
,10
]}

Gladman, Dafna ^{[6
]}

Eder, Lihi ^{[7
]}

机构：

[1] Univ Ottawa, Ottawa Hosp Res Inst, Fac Med, Dept Internal Med,Div Rheumatol, Ottawa, ON, Canada

[2] Istanbul Medeniyet Univ, Fac Med, Dept Internal Med, Div Rheumatol, Istanbul, Turkey

[3] Complejo Hosp Torrecardenas, Dept Internal Med, Div Rheumatol, Almeria, Spain

[4] Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med, Leeds, W Yorkshire, England

[5] Univ Calif Riverside, Dept Stat, Riverside, CA 92521 USA

[6] Univ Toronto, Toronto Western Hosp, Dept Internal Med, Div Rheumatol,Krembil Res Inst,Med, Toronto, ON, Canada

[7] Univ Toronto, Womens Coll Res Inst, Womens Coll Hosp, Rheumatol, Toronto, ON, Canada

[8] Univ Ottawa, Fac Med, Dept Internal Med, Div Rheumatol, Ottawa, ON, Canada

[9] Istanbul Medeniyet Univ, Dept Internal Med, Istanbul, Turkey

[10] Leeds Teaching Hosp Trust, NIHR Leeds Biomed Res Ctr, Leeds, W Yorkshire, England

来源：

JOURNAL OF RHEUMATOLOGY | 2020年 / 47卷 / 07期

关键词：

ULTRASOUND; PHYSICAL EXAMINATION; ENTHESOPATHY; ULTRASOUND; SPONDYLOARTHRITIS; INSERTIONS;

D O I：

10.3899/jrheum.190169

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：1026 / 1030

页数：5

共 14 条

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