Discriminant validity study of Achilles enthesis ultrasound

Abstract

Objective: We want to know if the ultrasound examination of the Achilles tendon in spondyloarthritis is different compared to other rheumatic diseases.

Material and methods: We studied 97 patients divided into five groups: rheumatoid arthritis, spondyloarthritis, gout, chondrocalcinosis and osteoarthritis, exploring six elementary lesions in 194 Achilles entheses examined.

Results: In our study the total index ultrasonographic Achilles is higher in spondyloarthritis with significant differences. The worst elementary spondyloarthritis lesions for discriminations against other pathologies were calcification.

Conclusions: This study aims to demonstrate the discriminant validity of Achilles enthesitis observed by ultrasound in spondyloarthritis compared with other rheumatic diseases that may also have ultrasound abnormalities such enthesis level.

Keywords: Achilles’ tendon; Artritis gotosa; Artritis reumatoide; Artrosis; Chondrocalcinosis; Condrocalcinosis; Ecografía; Espondiloartritis; Gouty arthritis; Osteoarthritis; Rheumatoid arthritis; Spondyloarthritis; Tendón de Aquiles; Ultrasound.