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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Correlations among clinical, radiographic, and sonographic scores for enthesitis in ankylosing spondylitis
Joint Bone Spine, Volume 78, No. 3, Year 2011
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Description
Objectives: To look for correlations among clinical, radiographic, and sonographic scores for enthesitis in patients with ankylosing spondylitis (AS). Methods: Prospective study of 60 patients meeting modified New York criteria for AS. The clinical evaluation relied on the BASDAI, BASFI, and ASQoL and on a visual analog scale (VAS) for entheseal pain, as well as on two specific enthesitis indices, the Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) and the Spondyloarthritis Research Consortium of Canada Enthesitis Index (SPARCC). Radiographs and ultrasound scans were taken of five entheses on both sides (patellar insertion of the quadriceps tendon, proximal and distal insertions of the patellar tendon, and calcaneal insertions of the Achilles tendon and superficial plantar fascia). Ultrasound scans were obtained using a Philips HD 11™ machine with a high-frequency linear probe. Results: We studied 48 men and 12 women with a mean age of 36 ± 11 years. The radiographic score correlated with the VAS pain score, BASDAI, and BASFI. The sonographic score for acute enthesitis correlated only with the MASES, and the sonographic score for chronic enthesitis correlated with none of the clinical scores. The Doppler score correlated with the VAS pain score, BASDAI, BASFI, and ASQoL. The overall sonographic score correlated with the MASES and SPARCC. Conclusion: Good correlations were found between the clinical and sonographic scores for enthesitis. The radiographic score seemed correlated with the general AS parameters rather than with the clinical scores. Larger studies are needed to better define the role for radiographs and sonography of the entheses in the diagnosis of AS and follow-up of treated AS patients. © 2010 Société française de rhumatologie.
Authors & Co-Authors
Hamdi, Wafa
Tunisia, Manouba
Kassab Orthopedics Institute
Chelli-Bouaziz, Mouna Chelly
Tunisia, Manouba
Kassab Orthopedics Institute
Ahmed, Mohamed Salah
Tunisia, Manouba
Kassab Orthopedics Institute
Ghannouchi, Mohamed Mehdi
Tunisia, Manouba
Kassab Orthopedics Institute
Kaffel, Dhia
Tunisia, Manouba
Kassab Orthopedics Institute
Ladeb, Mohamed Fethi
Tunisia, Manouba
Kassab Orthopedics Institute
Kchir, Mohamed Montacer
Tunisia, Manouba
Kassab Orthopedics Institute
Statistics
Citations: 38
Authors: 7
Affiliations: 1
Identifiers
Doi:
10.1016/j.jbspin.2010.09.010
ISSN:
1297319X
Study Design
Cohort Study
Participants Gender
Male
Female