Achilles tendinitis in psoriasis: clinical and sonographic findings

Simone, Clara De; Guerriero, Cristina; Giampietruzzi, Anna Rita; Costantini, Melania; Gregorio, F Di; Amerio, Pierluigi

doi:10.1067/s0190-9622(03)00904-6

Cited by 69 publications

(45 citation statements)

References 18 publications

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“…However, contrary to our study, De Simone et al (17) in their US study of Achilles tendon enthesitis in 59 patients with psoriasis did not find a correlation between the PASI score and entheseal US findings, which was same as that reported by Bandinelli et al (26) in their study on patients with early psoriatic arthritis.…”

Section: Achilles Enthesitis Was the Most Common Us Sign In This Studcontrasting

confidence: 57%

Subclinical enthesopathy in patients with psoriasis and its association with other disease parameters: a power Doppler ultrasonographic study

et al. 2017

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Section: Achilles Enthesitis Was the Most Common Us Sign In This Studcontrasting

confidence: 57%

Subclinical enthesopathy in patients with psoriasis and its association with other disease parameters: a power Doppler ultrasonographic study

et al. 2017

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“…Fewer studies demonstrated the criterion valid-ity and construct validity [3,4,[23][24][25]34,38,47,51,[57][58][59][60][61][62][63][64][65][66][67][68][69][70] where comparators were clinical examination, MRI, XRay, and histology. The lack of information is partially explained because of the difficulties in finding the best comparator, the relatively new use of ultrasound in SpA, and a slow rate of disease progression [5,71,72].…”

Section: Omeract Filter Us Validity For Assessing Enthesitismentioning

confidence: 99%

Concepts in monitoring enthesitis in patients with spondylarthritis- the role of musculoskeletal ultrasound

Micu

Fodor

2016

Med Ultrason

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Enthesitis is the key pathological lesion in the spondyloarthritides group and an important element for early diagnosis with a predictive and prognostic value. The recognition of enthesitis on a clinical basis alone remains a challenge and creates unnecessary delays in diagnosis and adequate treatment commencement. Musculoskeletal ultrasound is a valid, reliable, and feasible imaging tool valuable for identifying inflammatory and structural lesions at enthesis level, helpful in establishing a diagnosis, evaluating disease activity and therapy monitoring. This paper focuses on the most relevant aspects of current literature regarding enthesitis and highlights the musculoskeletal ultrasound added value in enthesis assessment.

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“…2 Several factors such as increasing age, overloading (particularly related to sports or ballet dancing), previous injury, rheumatologic disease, and hypercholesterolemia have all been associated with chronic Achilles tendinopathy. [3][4][5][6] It is postulated that for exercise-related cases, the tendon may have been repeatedly strained beyond physiologic extensibility. This repetitive exposure to excessive strain damages the tendon at a microscopic level (ie, microtears).…”

mentioning

confidence: 99%

Sonography of chronic Achilles tendinopathy: A case–control study

Leung

Griffith

2007

J of Clinical Ultrasound

107

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Purpose. To describe the sonographic appearance of Achilles tendon in normal subjects and patients with chronic Achilles tendinopathy with the aim of establishing diagnostic sonographic criteria for Achilles tendinopathy.Methods. A prospective, cross-sectional, case-control sonographic study of the Achilles tendon was undertaken. Thirty tendons in 21 patients and 100 tendons in 50 control subjects were selected. Sonographic assessment included tendon thickness, echogenicity, fibrillar pattern, and presence of calcifications. Power Doppler imaging was used to assess tendon vascularity. Paratendinous structures and plantar fascia were also examined.Results. Tendinopathic tendons were larger than normal tendons in both cross-sectional area and anteroposterior diameter. Hypoechoic areas within the tendon were more commonly seen in patients. Disruption of fibrillar pattern, increase in tendon vascularity, increased Kager's fat pad echogenicity, and paratenon thickening were solely seen in patients. Fluid in the retrocalcaneal bursa and calcaneal bony abnormalities were seen in both groups without a significant difference.Conclusion. Achilles tendinopathy results in enlargement, particularly of the mid-and distal portions of the tendon, disruption of fibrillar pattern, and increase in tendon vascularity. Additional signs are increased Kager's fat pad echogenicity and paratenon thickening. Tendon calcification, changes in retrocalcaneal bursae, and calcaneal contour are not specific for Achilles tendinopathy.

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Achilles tendinitis in psoriasis: clinical and sonographic findings

Cited by 69 publications

References 18 publications

Subclinical enthesopathy in patients with psoriasis and its association with other disease parameters: a power Doppler ultrasonographic study

Subclinical enthesopathy in patients with psoriasis and its association with other disease parameters: a power Doppler ultrasonographic study

Concepts in monitoring enthesitis in patients with spondylarthritis- the role of musculoskeletal ultrasound

Sonography of chronic Achilles tendinopathy: A case–control study

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