https://doi.org/10.4081/reumatismo.2024.1709

Conventional radiography and correlated factors of enthesopathies of the Achilles tendon and plantar fascia in patients with axial spondyloarthritis

Early Access
Submitted: 5 February 2024
Accepted: 9 July 2024
Published: 28 October 2024
Axial spondyloarthritis, enthesopathies, X-Ray imaging
Abstract Views: 192
PDF: 70
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

E. Yılmaz
dr.ozcanebru@gmail.com
Department of Physical Medicine and Rehabilitation, Bezmialem Vakıf University, İstanbul, Turkey.
Ö. Pasin
Department of Biostatistics and Medical Informatics, Bezmialem Vakıf University, İstanbul, Turkey.

Objective. This study aimed to investigate the correlated risk factors and presence of radiological enthesopathies of the Achilles tendon and plantar fascia in patients with axial spondyloarthropathy (axSpA).

Methods. 242 patients (121 female and 121 male) with axSpA were included in this study. The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), the Ankylosing Spondylitis Disease Activity Score with C-reactive protein (ASDAS-CRP), the Bath Ankylosing Spondylitis Radiology Index (BASRI), the Maastricht Ankylosing Spondylitis Enthesitis Score (MASES), and CRP were evaluated in all patients. The lateral foot X-rays of the patients were assessed for enthesopathies of the Achilles tendon and plantar fascia attachments.

Results. Calcaneal spur and Achilles enthesopathies were present in 57.4% of the patients. 39.3% of patients had enthesopathies in both regions. The male and female groups differed statistically in terms of weight, height, body mass index (BMI), positive family history, and duration since diagnosis (p<0.05). The presence of calcaneal spur and Achilles enthesopathies was found to be significantly correlated with age, weight, BMI, symptom duration, and the score of BASDAI, BASFI, ASDAS-CRP, BASRI, and MASES (p<0.05).

Conclusions. The presence of enthesopathies appears to be associated with age, weight, BMI, symptom duration, and disease activity. Conventional radiography can be used as an auxiliary tool in the evaluation of entheseal abnormalities in patients with SpA, especially in patients with advanced age, long symptom duration, and high BMI.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Sudoł-Szopińska I, Kwiatkowska B, Prochorec-Sobieszek M, Maśliński W. Enthesopathies and enthesitis. Part 1. Etiopathogenesis. J Ultrason 2015; 15: 72-84. DOI: https://doi.org/10.15557/JoU.2015.0006
Spadaro A, Perrotta FM, Carboni A, Scarno A. Clinical and imaging assessment of peripheral enthesitis in ankylosing spondylitis. Int J Clin Rheumatol 2012; 7: 391-6. DOI: https://doi.org/10.2217/ijr.12.26
Rezvani A, Bodur H, Ataman S, Kaya T, Buğdaycı DS, Demir SE, et al. Correlations among enthesitis, clinical, radiographic and quality of life parameters in patients with ankylosing spondylitis. Mod Rheumatol 2014; 24: 651-6. DOI: https://doi.org/10.3109/14397595.2013.850182
Sudoł-Szopińska I, Kwiatkowska B, Prochorec-Sobieszek M, Pracoń G, Walentowska-Janowicz M, Maśliński W. Enthesopathies and enthesitis. Part 2. Imaging studies. J Ultrason 2015; 15: 196-205. DOI: https://doi.org/10.15557/JoU.2015.0017
Balint PV, Kane D, Wilson H, Mclnnes IB, Sturrock RD. Ultrasonography of entheseal insertions in the lower limb in spondyloarthropathy. Ann Rheum Dis 2002; 61: 905-10. DOI: https://doi.org/10.1136/ard.61.10.905
Erdem CZ, Sarikaya S, Erdem LO, Ozdolap S, Gundogdu S. MR imaging features of foot involvement in ankylosing spondylitis. Eur J Radiol 2005; 53: 110-9. DOI: https://doi.org/10.1016/j.ejrad.2004.03.013
Borman P, Koparal S, Babaoğlu S, Bodur H. Ultrasound detection of entheseal insertions in the foot of patients with spondyloarthropathy. Clin Rheumatol 2006; 25: 373-7. DOI: https://doi.org/10.1007/s10067-005-0036-x
Turan Y, Duruöz MT, Cerrahoglu L. Relationship between enthesitis, clinical parameters and quality of life in spondyloarthritis. Joint Bone Spine 2009; 76: 642-7. DOI: https://doi.org/10.1016/j.jbspin.2009.03.005
Hamdi W, Chelli-Bouaziz M, Ahmed MS, Ghannouchi MM, Kaffel D, Ladeb MF, et al. Correlations among clinical, radiographic, and sonographic scores for enthesitis in ankylosing spondylitis. Joint Bone Spine. 2011; 78: 270-4. DOI: https://doi.org/10.1016/j.jbspin.2010.09.010
Schett G, Lories RJ, D'Agostino MA, Elewaut D, Kirkham B, Soriano ER, et al. Enthesitis: from pathophysiology to treatment. Nat Rev Rheumatol 2017; 13: 731-41. DOI: https://doi.org/10.1038/nrrheum.2017.188
Deodhar A. Axial spondyloarthritis criteria and modified NY criteria: issue and controversies. Clin Rheumatol 2014; 33: 741-7. DOI: https://doi.org/10.1007/s10067-014-2661-8
Marchesoni A, De Marco G, Merashli M, McKenna F, Tinazzi I, Marzo-Ortega H, et al. The problem in differentiation between psoriatic-related polyenthesitis and fibromyalgia. Rheumatology 2018; 57: 32-40. DOI: https://doi.org/10.1093/rheumatology/kex079
Siddiq MA, Al Hasan S, Rasker JJ. Persistent enthesitis and spondyloarthropathy: a case series of 71 Bangladeshi people. J Back Musculoskelet Rehabil 2015; 28: 463-71. DOI: https://doi.org/10.3233/BMR-140541
Matallah K, Triki W, Riahi H, Ferjani H, Salem FB, Kaffel D, et al. Plantar fascia enthesitis: Clinical, radiographic and ultrasound findings in patients with axial spondyloarthritis. Egypt Rheumatol 2020; 42: 267-70. DOI: https://doi.org/10.1016/j.ejr.2020.07.011
Sudoł-Szopińska I, Zaniewicz-Kaniewska K, Kwiatkowska B. Spectrum of ultrasound pathologies of achilles tendon, plantar aponeurosis and flexor digiti brevis tendon heel entheses in patients with clinically suspected enthesitis. Pol J Radiol 2014; 79: 402-8. DOI: https://doi.org/10.12659/PJR.890803
Wu X, Liu D, Li Y, Xie Y, Tu L, Zhang Y, et al. A clinical practice guideline for the screening and assessment of enthesitis in patients with spondyloarthritis. Front Immunol 2022: 13: 978504. DOI: https://doi.org/10.3389/fimmu.2022.978504

How to Cite

Yılmaz, E., & Pasin, Ö. (2024). Conventional radiography and correlated factors of enthesopathies of the Achilles tendon and plantar fascia in patients with axial spondyloarthritis. Reumatismo. https://doi.org/10.4081/reumatismo.2024.1709
Copyright (c) 2024 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

Similar Articles

<< < 3 4 5 6 7 8 9 10 11 12 > >> 

You may also start an advanced similarity search for this article.