Are Ultrasound Findings Similar in Patients with Axial Spondyloarthritis and in Athlete Entheses?

Marie-Alix Lanfranchi; Olivier Leluc; Alice Tavano; Cécile Wormser; Sophie Morange; Christophe Chagnaud; Vincent Pradel; Pierre Lafforgue; Thao Pham

doi:10.3899/jrheum.160715

Are Ultrasound Findings Similar in Patients with Axial Spondyloarthritis and in Athlete Entheses?

J Rheumatol. 2017 May;44(5):609-612. doi: 10.3899/jrheum.160715. Epub 2017 Mar 1.

Authors

Marie-Alix Lanfranchi^{1

2}, Olivier Leluc^{1

2}, Alice Tavano^{1

2}, Cécile Wormser^{1

2}, Sophie Morange^{1

2}, Christophe Chagnaud^{1

2}, Vincent Pradel^{1

2}, Pierre Lafforgue^{1

2}, Thao Pham^{3

4}

Affiliations

¹ From the Assistance Publique-Hôpitaux de Marseille (APHM), CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; CHU Conception, Radiology Department, Clinical Investigation Center; CHU Sainte Marguerite, Public Health Department; Aix-Marseille University, Marseille, France.
² M.A. Lanfranchi, MD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; O. Leluc, MD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; A. Tavano, MD, APHM, CHU Conception, Radiology Department; C. Wormser, MD, APHM, CHU Conception, Radiology Department; S. Morange, MD, APHM, CHU Conception, Clinical Investigation Center; C. Chagnaud, MD, PhD, APHM, CHU Conception, Radiology Department, Aix-Marseille University; V. Pradel, MD, APHM, CHU Sainte Marguerite, Public Health Department, Aix-Marseille University; P. Lafforgue, MD, PhD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; T. Pham, MD, PhD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University.
³ From the Assistance Publique-Hôpitaux de Marseille (APHM), CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; CHU Conception, Radiology Department, Clinical Investigation Center; CHU Sainte Marguerite, Public Health Department; Aix-Marseille University, Marseille, France. [email protected].
⁴ M.A. Lanfranchi, MD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; O. Leluc, MD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; A. Tavano, MD, APHM, CHU Conception, Radiology Department; C. Wormser, MD, APHM, CHU Conception, Radiology Department; S. Morange, MD, APHM, CHU Conception, Clinical Investigation Center; C. Chagnaud, MD, PhD, APHM, CHU Conception, Radiology Department, Aix-Marseille University; V. Pradel, MD, APHM, CHU Sainte Marguerite, Public Health Department, Aix-Marseille University; P. Lafforgue, MD, PhD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; T. Pham, MD, PhD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University. [email protected].

PMID: 28250140
DOI: 10.3899/jrheum.160715

Abstract

Objective: Enthesitis is the spondyloarthritis (SpA) landmark, but can also be seen after entheses overuse, such as during intensive sport.

Methods: We aimed to compare entheses ultrasound (US) findings in a prospective cross-sectional study of 30 axial SpA cases, 30 athletes, and 29 controls.

Results: Mean (SD) MAdrid Sonographic Enthesis Index (MASEI) score was 26.3 (13), 12.2 (7), and 10.4 (6) in patients with SpA, athletes, and non-athlete control groups, respectively (p < 0.0001).

Conclusion: The MASEI score was significantly higher in patients with SpA compared with healthy controls, athletes, and non-athletes, and can be of value to distinguish SpA from healthy subjects, whatever their physical activity.

Keywords: ATHLETE; ENTHESIS; SPONDYLOARTHROPATHY; ULTRASONOGRAPHY.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Athletes
Athletic Injuries / diagnostic imaging*
Cross-Sectional Studies
Enthesopathy / diagnostic imaging*
Female
Humans
Male
Prospective Studies
Severity of Illness Index
Spondylarthritis / diagnostic imaging*
Ultrasonography*
Young Adult