Gaucher A, Péré P, Régent D, Grandhaye P, Aussedat R, Vivard T
Rev Rhum Mal Osteoartic. 1987 Mar;54(3):243-8.
Ossifying enthesites present an undeniable diagnostic value in every chronic inflammatory rheumatism at an early stage, not only in adults but also in children. Bony scintigraphy discovers them in most localizations at a preradiological stage, as soon as they cause pain. The scanner examination enables to follow the anatomical evolution of the ossifications. It is perfectly suitable for the study of sacro-iliac and interapophyseal joints. Ossifying enthesites, the evolution of which spreads over several years, often depend on mechanical, professional or athletic constraints. Ossifying enthesitis is a common characteristics of "classic" spondylo-arthropathies which are all ossifying polyenthesites: ankylosing spondylarthritis, psoriasic rheumatism, rheumatism of enteropathies, Fiessinger-Leroy-Reiter syndrome and juvenile spondylo-arthropathies.
骨化性附着点炎在各类慢性炎症性风湿病的早期具有不可忽视的诊断价值，不仅对成人如此，对儿童亦然。骨闪烁显像在骨化性附着点炎处于放射学前阶段且引发疼痛时，就能在大多数部位发现它们。扫描检查能够追踪骨化的解剖学演变过程。它非常适合用于研究骶髂关节和椎间关节。骨化性附着点炎的演变过程会持续数年，通常取决于机械、职业或运动方面的因素。骨化性附着点炎是“典型”脊柱关节炎的常见特征，这些疾病均为多部位骨化性附着点炎，包括强直性脊柱炎、银屑病关节炎、肠道病性关节炎、菲舍尔-勒鲁瓦-赖特综合征以及青少年脊柱关节炎。
