Spondyloarthritis & psoriatic arthritis

Relationship between ultrasound damage score of peripheral entheses and spinal bone formation in long-standing radiographic axial spondyloarthritis

RMD OpenPublished Cross-sectional study

Main findingResult — go to the resultRate ratio for log-transformed mSASSS+1, adjusted for symptom duration 1.32 95% CI 1.04–1.67

Authors' conclusion

Structural lesions at the peripheral entheses are common in long-standing r-axSpA and accumulate with age, which may obscure the possible association with spinal bone formation.

Study context

Population
Patients with long-standing radiographic axial spondyloarthritis (r-axSpA) fulfilling the modified New York criteria for ankylosing spondylitis (AS) (mean age 55 years; symptom duration 29 years)54% males
Participants
173 patients
Exposure
Association between ultrasound (US) damage score of peripheral entheses and modified Stoke AS Spinal Score (mSASSS), overall, by sex and by age quartiles
Outcome
Association between US damage score (0-42) and spinal bone formation (mSASSS)
Methodological detailsnegative binomial regression
  • Negative binomial regression

Main finding

As reported in the abstract

Rate ratio for log-transformed mSASSS+1, adjusted for symptom duration

1.32

95% CI 1.04–1.67

Malesvs Females
rate ratio for log-transformed mSASSS+1, adjusted for symptom duration 1.32 (95% CI 1.04–1.67)

Observational data: associations, not effects.

Further findings

Mean

OutcomeMalesFemalesP value
US damage score by sex4.7 (SD 3.0)3.3 (SD 2.4)P < 0.001

Prevalence of any structural US lesion

Any structural US lesion
92%

US damage score by sex

US damage score and mSASSS increased significantly with age

Original publication

Relationship between ultrasound damage score of peripheral entheses and spinal bone formation in long-standing radiographic axial spondyloarthritis. RMD Open. Published 4 March 2026. doi:10.1136/rmdopen-2025-006388

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