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

J Rheumatol

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.

Published: July 2020

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.

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http://dx.doi.org/10.3899/jrheum.190169DOI Listing

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