Prevalence of Subclinical Enthesopathy in Patients With Spondyloarthropathy

Ruta, Santiago; Gutiérrez, Marwin; Pena, Claudia; García, Mercedes; Arturi, A; Filippucci, Emilio; Marcos, Juan Carlos

doi:10.1097/rhu.0b013e318204a6f8

Cited by 35 publications

(19 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, the involvement of entheseal-related structures is not always specific to SpA and may be observed in other noninflammatory and traumatic conditions with enthesis involvement (1)(2)(3)(4). Therefore, to differentiate the origin of the pathologic process, the term enthesopathy is commonly used to describe a metabolic or degenerative/ traumatic cause, whereas the term enthesitis refers to an inflammatory cause, such as in SpA (1)(2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, to differentiate the origin of the pathologic process, the term enthesopathy is commonly used to describe a metabolic or degenerative/ traumatic cause, whereas the term enthesitis refers to an inflammatory cause, such as in SpA (1)(2)(3)(4). However, the 2 terminologies have often been used interchangeably in studies published in the literature, which has led a group of researchers to develop the concept of the enthesis organ, despite the origin (5).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Defining Enthesitis in Spondyloarthritis by Ultrasound: Results of a Delphi Process and of a Reliability Reading Exercise

Terslev

Naredo

Iagnocco

et al. 2014

Arthritis Care & Research

186

145

View full text Add to dashboard Cite

Objective. To standardize ultrasound (US) in enthesitis.Methods. An initial Delphi exercise was undertaken to define US-detected enthesitis and its core components. These definitions were subsequently tested on static images taken from spondyloarthritis patients in order to evaluate their reliability. Results. Excellent agreement (>80%) was obtained for including hypoechogenicity, increased thickness of the tendon insertion, calcifications, enthesophytes, erosions, and Doppler activity as core elementary lesions of US-detected enthesitis. US definitions were subsequently obtained for each elementary component. On static images, the intraobserver reliability showed a high degree of variability for the detection of elementary lesions, with kappa coefficients ranging from 0.13-1. The interobserver kappa values were variable, with the lowest kappa coefficient for enthesophytes (0.24) and the highest coefficient for Doppler activity at the enthesis (0.63). Conclusion. This is the first consensus-based US definition of enthesitis and its elementary components and the first step performed to ensure a higher degree of homogeneity and comparability of results between studies and in daily clinical work.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Defining Enthesitis in Spondyloarthritis by Ultrasound: Results of a Delphi Process and of a Reliability Reading Exercise

Terslev

Naredo

Iagnocco

et al. 2014

Arthritis Care & Research

186

145

View full text Add to dashboard Cite

show abstract

“…Currently, there is consistent evidence supporting the higher sensitivity over clinical examination of US in the diagnosis of enthesitis [55][56][57][58] (Fig. 2A).…”

Section: Detection Of Inflammatory Processmentioning

confidence: 65%

General Applications of Ultrasound in Rheumatology

Ruta¹,

Pineda²,

Gutiérrez³

2015

JCR Journal of Clinical Rheumatology

Self Cite

View full text Add to dashboard Cite

Ultrasound (US) is a noninvasive imaging technique that continues to gain interest among rheumatologists because of its undoubted utility for the assessment of a wide range of abnormalities in rheumatic diseases. It also has a great potential to be used at the time of consultation as an extension of the clinical examination.Current data demonstrate that the standard clinical approach could result in an insensitive assessment of some the different aspects of the various rheumatic diseases for which US has become a feasible and effective imaging modality that allows early detection of anatomical changes, careful guidance for the aspiration and/or local treatment, and short- and long-term therapy monitoring at the joint, tendon, enthesis, nail, and skin levels. The spectrum of pathological conditions for which US plays a crucial role continues to increase over time and includes rheumatoid arthritis, spondyloarthropathies, osteoarthritis, crystal-related arthropathies, connective tissue disorders, and vasculitis.It is expected that the inclusion of more longitudinal studies with a larger number of patients and more rigorous methodological approach will undoubtedly provide a better understanding of the significance of the abnormal US findings detected in order to provide the proper diagnostic and/or therapeutic approaches. In this article, we analyze the current potential applications of US in rheumatology and discuss the evidence supporting its use in the daily rheumatologic practice.

show abstract

“…32,33 USG has the ability to detect subclinical enthesitis in SpA patients and it may be superior to clinical examination alone in detecting enthesitis. 34 Interestingly, a recent study showed the role of USG in nail imaging in patients with psoriasis and psoriatic arthritis, especially the abnormalities of the ventral plate and the difference between the mean distance ventral plate-osseous margins of the distal phalanx in this patient group. 35 Some of the USG features of Spa have been illustrated in Fig.…”

Section: Spondyloarthropathiesmentioning

confidence: 87%

Ultrasound in musculoskeletal disorder – A new horizon in rheumatology

Mondal

Ghosh

2015

Indian Journal of Rheumatology

View full text Add to dashboard Cite

a b s t r a c tEarly detection of rheumatological diseases is an important step in prevention of permanent damage and deformities. Conventional radiography has traditionally been used as a diagnostic tool in rheumatology but is incapable to detect early changes in the periarticular tissues and bones. MRI has gained undoubted superiority for detection of soft tissue pathologies and early bony inflammatory changes but its widespread use is restricted by multiple factors. Ultrasonography (USG) is a promising tool for bridging this gap. Though the use of USG in the field of Rheumatology is almost three decades old, recent advancement in technology has made it an attractive imaging tool for early detection various musculoskeletal disorders. The utility of USG is not only limited to the detection of synovitis but has expanded to detect various extra skeletal manifestations of rheumatological diseases. Absence of radiation hazards, reasonable cost, and widespread availability are the added advantages of USG. In this article the promising role of USG in musculoskeletal diseases has been reviewed.

show abstract

Prevalence of Subclinical Enthesopathy in Patients With Spondyloarthropathy

Cited by 35 publications

References 30 publications

Defining Enthesitis in Spondyloarthritis by Ultrasound: Results of a Delphi Process and of a Reliability Reading Exercise

Defining Enthesitis in Spondyloarthritis by Ultrasound: Results of a Delphi Process and of a Reliability Reading Exercise

General Applications of Ultrasound in Rheumatology

Ultrasound in musculoskeletal disorder – A new horizon in rheumatology

Contact Info

Product

Resources

About