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.
S.Z. Aydin, MD, Assoc. Professor, University of Ottawa Faculty of Medicine, Ottawa Hospital Research Institute, Department of Internal Medicine, Division of Rheumatology; S. Bakirci, MD, University of Ottawa Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology; E. Kasapoglu, MD, Assoc. Professor, Istanbul Medeniyet University, Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology; C. Castillo-Gallego, MD, Complejo Hospitalario Torrecárdenas, Department of Internal Medicine, Division of Rheumatology; F. Arslan Alhussain, MD, Istanbul Medeniyet University, Department of Internal Medicine; Z.R. Ash, MD, NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds; E. Kurum, PhD, Assistant Professor, University of California, Department of Statistics; D. McGonagle, MD, Professor, NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds; H. Marzo-Ortega, MD, NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds; D. Gladman, MD, Professor of Medicine, University of Toronto, Department of Internal Medicine, Division of Rheumatology, Krembil Research Institute, Toronto Western Hospital; L. Eder, MD, PhD, Assistant Professor, University of Toronto, Women's College Research Institute, Women's College Hospital, Rheumatology.
J Rheumatol. 2020 Jul 1;47(7):1026-1030. doi: 10.3899/jrheum.190169. Epub 2019 Sep 1.
To investigate the relationship between physical examination (PE) and sonographic features of enthesitis, based on anatomical sites.
The analysis was done using merged raw data of 3 studies on 2298 entheses.
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.
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.
基于解剖部位，探讨体格检查（PE）与肌腱附着点炎的超声特征之间的关系。
对 3 项研究共 2298 个肌腱附着点的合并原始数据进行分析。
患有临床性跟腱附着点炎的患者在超声检查中出现更多异常：低回声，p<0.001；增厚，p=0.001；多普勒信号，p=0.002；侵蚀，p=0.02。髌腱起点也与体格检查相关，但髌腱远侧止点和足底腱膜与超声结果不相关。
大的肌腱附着点的临床和超声检查结果之间的关系取决于解剖部位。对于髌腱起点和跟腱附着点，体格检查与超声检查结果显著相关。
