Musculoskeletal ultrasonography of the Achilles tendon and plantar fascia in spondyloarthritis patients

作者: Khadija Baccouche , Linda Mani , Nejla Elamri , Neila Fathallah , Hounaida Zaghouani

DOI: 10.1016/J.EJR.2017.11.002

关键词:

摘要: Abstract Aim of the work To assess frequency and severity peripheral enthesitis in spondyloarthritis (SpA) patients using musculoskeletal ultrasound (MSKUS) B mode associated with power Doppler (PD) compared to a group mechanical low back pain (M-LBP). Patients methods The study included 40 SpA 20 M-LBP as control group. Ultrasound (US) PD was performed at Achilles tendon (AT) plantar fascia (PF). Results mean age SpA 41.9 ± 14.3 years disease duration 8.4 ± 5.8 years. Axial form found 36 cases (90%) 4 (10%). ESR 28.3 ± 23.2 mm/1sth CRP 22.9 ± 31.2 mg/l. In 109/160 (68.1%) assessed entheseal sites were significantly abnormal 27/80 (33.8%) M-LBP (AT p  Conclusion high among AT most affected enthesis. Abnormal vascularization cortical bone insertion entheses detected especially patients, there great evidence subclinical enthesitis.

参考文章(30)
H Whitelock, P Mallorie, A Calin, S Garrett, L G Kennedy, J O'Hea, T Jenkinson, A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. The Journal of Rheumatology. ,vol. 21, pp. 2281- 2285 ,(1994)
L. Terslev, E. Naredo, A. Iagnocco, P. V. Balint, R. J. Wakefield, P. Aegerter, S. Z. Aydin, A. Bachta, H. B. Hammer, G. A. W. Bruyn, E. Filippucci, F. Gandjbakhch, P. Mandl, C. Pineda, W. A. Schmidt, M. A. D'Agostino, , Defining enthesitis in spondyloarthritis by ultrasound: Results of a delphi process and of a reliability reading exercise Arthritis Care and Research. ,vol. 66, pp. 741- 748 ,(2014) , 10.1002/ACR.22191
Richard J Wakefield, Peter V Balint, Marcin Szkudlarek, Emilio Filippucci, Marina Backhaus, Maria-Antonietta D'Agostino, Esperanza Naredo Sanchez, Annamaria Iagnocco, Wolfgang A Schmidt, George AW Bruyn, George Bruyn, David Kane, Philip J O'Connor, Bernhard Manger, Fred Joshua, Juhani Koski, Walter Grassi, Marissa ND Lassere, Nanno Swen, Franz Kainberger, Andrea Klauser, Mikkel Ostergaard, Andrew K Brown, Klaus P Machold, Philip G Conaghan, Musculoskeletal ultrasound including definitions for ultrasonographic pathology The Journal of Rheumatology. ,vol. 32, pp. 2485- 2487 ,(2005)
Sjef Van Der Linden, Hans A. Valkenburg, Arnold Cats, Evaluation of Diagnostic Criteria for Ankylosing Spondylitis Arthritis & Rheumatism. ,vol. 27, pp. 361- 368 ,(1984) , 10.1002/ART.1780270401
Muhammad Asim Khan, Update on Spondyloarthropathies Annals of Internal Medicine. ,vol. 136, pp. 896- 907 ,(2002) , 10.7326/0003-4819-136-12-200206180-00011
J. E. Freeston, L. C. Coates, P. S. Helliwell, E. M. A. Hensor, R. J. Wakefield, P. Emery, P. G. Conaghan, Is there subclinical enthesitis in early psoriatic arthritis? A clinical comparison with power doppler ultrasound. Arthritis Care and Research. ,vol. 64, pp. 1617- 1621 ,(2012) , 10.1002/ACR.21733
MARWIN GUTIERREZ, EMILIO FILIPPUCCI, WALTER GRASSI, MARCOS ROSEMFFET, Intratendinous Power Doppler Changes Related to Patient Position in Seronegative Spondyloarthritis The Journal of Rheumatology. ,vol. 37, pp. 1057- 1059 ,(2010) , 10.3899/JRHEUM.090900
Walter Grassi, Fausto Salaffi, Emilio Filippucci, Ultrasound in rheumatology Best Practice & Research: Clinical Rheumatology. ,vol. 19, pp. 467- 485 ,(2005) , 10.1016/J.BERH.2005.01.002
Ignazio Olivieri, Libero Barozzi, Angela Padula, 7 Enthesiopathy: clinical manifestations, imaging and treatment Baillière's clinical rheumatology. ,vol. 12, pp. 665- 681 ,(1998) , 10.1016/S0950-3579(98)80043-5
Maria-Antonietta D'Agostino, Roula Said-Nahal, C�cile Hacquard-Bouder, Jean-Louis Brasseur, Maxime Dougados, Maxime Breban, Assessment of peripheral enthesitis in the spondylarthropathies by ultrasonography combined with power Doppler: a cross-sectional study. Arthritis & Rheumatism. ,vol. 48, pp. 523- 533 ,(2003) , 10.1002/ART.10812