Usefulness of Ultrasonography in the Assessment of Peripheral Enthesis in Spondyloarthritis

Arnaiz, M. Cristina Mata; Mendieta, Eugenio de Miguel

doi:10.1016/j.reumae.2013.11.008

Cited by 10 publications

(8 citation statements)

References 27 publications

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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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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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“…Although the US has proven to be a reliable and valid technique to evaluate enthesitis in SpA ( 23 ), little has been analyzed about its discriminant validity. In a study, the power of discrimination of US was evaluated by MASEI between different chronic diseases in the Achilles enthesis, showing that this index lacks validity to discriminate SpA from gout ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study

et al. 2022

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ObjectiveTo compare the assessment of entheses in subjects with spondyloarthritis (SpA) with patients with gout by the Madrid Sonographic Enthesis Index (MASEI).MethodThis cross-sectional study includes videos of entheses evaluated by ultrasound (US) of 30 patients with SpA diagnosed according to the ASAS criteria and 30 patients with gout established by the presence of monosodium urate crystals. Entheses were evaluated for MASEI in 2 Institutes located in two different countries. Demographic and clinical data were registered. Total MASEI score, MASEI-inflammatory, and MASEI-chronic damage were analyzed. Comparisons between groups were obtained by chi-square test and Student's t-test. An inter-reading US reliability was realized.ResultsPatients with gout were older and had significantly more comorbidities than those with SpA. The total MASEI score was not significantly different among diseases (p = 0.07). MASEI-inflammatory was significantly more prevalent at the Achilles tendon in SpA, while the proximal patellar tendon was in gout. Power Doppler was higher in SpA compared to gout (p = 0.005). MASEI-chronic damage related to calcification/enthesophytes predominated in gout (p = 0.043), while calcaneal erosions did in SpA (p = 0.008). The inter-reader concordance was excellent (0.93, CI 95% 0.87–0.96, p = 0.001).ConclusionsSpA and gout similarly involve entheses according to MASE, however, some inflammatory and chronic lesions differ significantly depending on the underlying disease and tendon scanned.

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“…It is thought that microtrauma to fibrocartilage structures is the principle of enthesitis development. In this regard, the evaluation of target areas at anatomical locations prone to trauma injuries such as the foot and the knee could be enough to reflect total enthesitis (23) . In our study, clinical enthesopathy was diagnosed in 48/500 (9.6 %) of the examined entheseal sites being tender to palpation and/or swollen in 42 patients (84%).…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Ultrasound Assessment of Enthesopathy in Fibromyalgia Patients

Abdelkareem

Ibrahim

Abd-Elkareem

2020

The Egyptian Journal of Hospital Medicine

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Background: Fibromyalgia (FM) is a syndrome of persistent widespread pain, stiffness, fatigue, disrupted and unrefreshing sleep, and cognitive difficulties, often accompanied by multiple other unexplained symptoms, anxiety and/or depression, and functional impairment of activities of daily living Objectives: To assess the frequency and pattern of enthesopathy in primary FM using musculoskeletal ultrasound with Glasgow Ultrasound Enthesitis Scoring System (GUESS) and Correlate these findings with clinical and laboratory parameters of FM. Patients and Methods: A cross-sectional study includes 100 persons divided into two groups as follows: Group (1): 50 patients with primary fibromyalgia syndrome (FM) were diagnosed. Group (2): 50 apparently healthy controls with comparable age and sex. Patients were selected from those attending the outpatient clinic of the

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Usefulness of Ultrasonography in the Assessment of Peripheral Enthesis in Spondyloarthritis

Cited by 10 publications

References 27 publications

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

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

Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study

Musculoskeletal Ultrasound Assessment of Enthesopathy in Fibromyalgia Patients

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