Seronegatif spondiloartropatide Aşil tendon kalınlığının sonografik ölçümü

Results: A significant difference was observed for Achilles enthesis thickness between genders (mean±SD: 4.6±0.7 mm in males vs. 4.0±0.8 mm in females, p

📌 3 Key Takeaways

🎯

Objective & Hypothesis:Objective: To define the best cut-off value for identifying Achilles tendon thickening using ultrasound (US) in patients with spondyloarthropathies (SpA) and to assess its diagnostic utility in comparison with different cut-off values used in the literature.Material and Methods: One-hundred and one subjects (55 SpA patients and 46 age and body mass index ((BMI)-matched healthy controls (HC)) were investigated.

📊

Key Findings & Data:US was performed using a MyLab70 US system (Esaote Biomedica, Genoa, Italy) with a linear probe (6-18 MHz).

💡

Conclusion & Impact:Results: A significant difference was observed for Achilles enthesis thickness between genders (mean±SD: 4.6±0.7 mm in males vs. 4.0±0.8 mm in females, p

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objective: To define the best cut-off value for identifying Achilles tendon thickening using ultrasound (US) in patients with spondyloarthropathies (SpA) and to assess its diagnostic utility in comparison with different cut-off values used in the literature.Material and Methods: One-hundred and one subjects (55 SpA patients and 46 age and body mass index ((BMI)-matched healthy controls (HC)) were investigated. US was performed using a MyLab70 US system (Esaote Biomedica, Genoa, Italy) with a linear probe (6-18 MHz). Three images per Achilles enthesis were stored and the antero-posterior thickness of the enthesis was measured at the level of the Achilles tendon deeper margin insertion into the calcaneal bone on the longitudinal median scan. The best cut-off value for each gender was determined by ROC curve analysis and compared to the other cut-off values in the literature: 1) 5.29 mm for both genders, and 2) 5.5 mm for females and 6.2 mm for males. The number of measurements exceeding the cut-off values as well as sensitivity (SE), specificity (SP), positive (PPV) and negative (NPV) predictive values were calculated. Results: A significant difference was observed for Achilles enthesis thickness between genders (mean±SD: 4.6±0.7 mm in males vs. 4.0±0.8 mm in females, p

Özet

Amaç: Spondiloartropati (SpA) hastalarında ultrason (US) kullanarak Aşil tendon kalınlığını belirlemede en iyi eşik değerini tanımlamak ve literatürde kullanılan farklı eşik değerleri ile karşılaştırarak tanısal yararlılığını değerlendirmek. Materyal ve Metot: Yüz bir birey (55 SpA hastası ve 46 yaş ve vücut kitle indeksi (BMI) eşleştirilmiş sağlıklı kontroller (SK)) incelendi. US, MyLab70 US sistemi (Esaote Biomedica, Cenova, İtalya) ile lineer prob (6-18 MHz) kullanılarak yapıldı. Her Aşil entezi için 3 görüntü saklandı ve longitudinal medyan taramada Aşil tendonunun kalkaneus kemiği içine girmiş derin kenarı seviyesinde entezin anteroposterior kalınlığı ölçüldü. Her cinsiyet için en iyi eşik değeri ROC eğrisi analizi ile belirlendi ve literatürdeki diğer eşik değerleri ile karşılaştırıldı: 1) Her iki cinsiyet için 5.29 mm ve 2) Kadınlar için 5.5 mm ve erkekler için 6.2 mm. Eşik değerlerini aşan ölçüm sayısı ve sensitivite (SE), spesifisite (SP), pozitif (PPD) ve negatif (NPD) prediktif değerleri hesaplandı. Bulgular: Cinsiyetler arasında (ortalama±SS: erkeklerde 4.6±0.7 mm ve kadınlarda 4.0±0.8 mm, p

🔖

Cite This Article

DİRESKENELİ, H., ATAGÜNDÜZ, P., YAVUZ, Ş., AYDIN, S. Z., FİLİPPUCCİ, E., GRASSİ, W. (2022). Seronegatif spondiloartropatide Aşil tendon kalınlığının sonografik ölçümü. European Journal of Rheumatology, Cilt: 1 - Sayı: 1, 7–10. https://ajindex.com/articles/511871

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (3)

Koehler L, Kuipers JG, Zeidler HK. Enthesopathy. In: Hochberg MC, Silman AJ, Smolen JS, Wein- blatt ME, Weisman MH, editors. Rheumatology. New York, Mosby; 2003. p. 1275-81. Ball J. Enthesopthy of rheumatoid and ankylos- ing spondylitis. Ann Rheum Dis 1971; 30: 213-23. [CrossRef] Grassi W, Filippucci E, Farina A, Cervini C. Sono- graphic imaging of tendons. Arthritis Rheum 2000; 43; 969-76. [CrossRef] 4. Wakefield RJ, Balint PV, Szkudlarek M, Filippucci E, Backhaus M, D'Agostino MA, et al. Musculoskele- tal ultrasound including definitions for ultrasono- graphic pathology. J Rheumatol 2005; 32: 2485-7.
Rees JD, Wilson AM, Wolman RL. Current con- cepts in the management of tendon disorders. Rheumatology 2006; 45: 508-21. [CrossRef] Balint PV, Kane D, Wilson H, McInnes IB, Sturrock RD. Ultrasonography of entheseal insertions in the lower limb in spondyloarthropathy. Ann Rheum Dis 2002; 61: 905-10. [CrossRef] D'Agostino MA, Said-Nahal R, Hacquard-Bouder C, Brasseur JL, Dougados M, Breban M. Assess- ment of peripheral enthesitis in the spondy- loarthropathies by ultrasonography combined with power Doppler: a cross-sectional study. Arthritis Rheum 2003; 48: 523-33. [CrossRef] Schmidt WA, Schmidt H, Schicke B, Gromnica- Ihle E. Standard reference values for musculo- skeletal ultrasonography. Ann Rheum Dis 2004; 63: 988-94. [CrossRef] Olivieri I, Barozzi L, Padula A, De Matteis M, Pier- ro A, Cantini F, et al. Retrocalcaneal bursitis in spondyloarthropathy: assessment by ultraso- nography and magnetic resonance imaging. J Rheumatol 1998; 25: 1352-7.
Filippucci E, Aydin SZ, Karadag O, Salaffi F, Gutierrez M, Direskeneli H, et al. Reliability of high-resolution ultrasonography in the assess- ment of Achilles tendon enthesopathy in sero- negative spondyloarthropathies. Ann Rheum Dis 2009; 68: 1850-5. [CrossRef] Alcalde M, Acebes JC, Cruz M, González-Homb- rado l, Herrero-Beaumont G, Sánchez-Pernaute O. A sonographic enthesitic index of lower limbs is a valuable tool in the assessment of an- kylosing spondylitis. Ann Rheum Dis 2007; 66: 1015-9. [CrossRef] de Miguel E, Cobo T, Mu-oz-Fernández S, Nare- do E, Usón J, Acebes JC, et al. Validity of enthesis ultrasound assessment in spondyloarthropathy. Ann Rheum Dis 2009; 68: 169-74. [CrossRef] Dougados M, van der Linden S, Juhlin R, Huitfeldt B, Amor B, Calin A, et al. The European Spondy- larthropathy Study Group preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum 1991; 34: 1218-27. [Cross