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Entheses and enthesopathy. Anatomical, pathological, and radiological correlation.

D Resnick, G Niwayama

    Radiology
    |January 1, 1983
    PubMed
    Summary

    Enthesopathy, diseases affecting tendon and ligament attachments to bone, can be inflammatory, degenerative, or traumatic. Radiographic features like bone erosion and hyperostosis aid in precise diagnosis of these common conditions.

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    Area of Science:

    • Orthopedics
    • Rheumatology
    • Radiology

    Background:

    • Entheses are critical anatomical sites where tendons and ligaments connect to bone.
    • Enthesopathy encompasses a range of diseases affecting these attachment sites.
    • These conditions can stem from inflammatory, degenerative, endocrine, metabolic, or traumatic causes.

    Purpose of the Study:

    • To define enthesopathy and its various etiologies.
    • To identify common anatomical locations affected by enthesopathies.
    • To highlight key radiographic findings indicative of enthesopathy.

    Main Methods:

    • Review of common enthesopathy presentations.
    • Identification of frequently involved anatomical sites.
    • Analysis of characteristic radiographic features.

    Main Results:

    • Enthesopathies manifest in various forms, including inflammatory and degenerative processes.
    • Commonly affected sites include the pelvis, femur, humerus, patella, olecranon, calcaneus, and spine.
    • Radiographic signs such as bone erosion, hyperostosis, fragmentation, and crystal deposition are diagnostic indicators.

    Conclusions:

    • Enthesopathy is a diverse group of diseases affecting bone-tendon/ligament junctions.
    • Understanding the common locations and radiographic features is crucial for diagnosis.
    • Radiology plays a key role in identifying specific features for precise diagnosis of enthesopathies.

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