Ultrasound evaluation of the Achilles enthesis in inflammatory and non-inflammatory processes: a systematic review and meta-analysis

Clin Exp RheumatolPublished Systematic review and meta-analysis

Authors' conclusion

While Achilles enthesis thickening, Doppler signal and calcaneal erosions discriminate IT from healthy subjects, erosions are more likely to distinguish IT from NIT than thickening or Doppler signal.

Study context

Population
Studies of US evaluation of inflammatory tendinopathy (IT) or non-inflammatory tendinopathy (NIT) affecting the Achilles enthesis (Embase, PubMed, Medline, to October 2020)
Comparison
Inflammatory tendinopathy (IT) vs non-inflammatory tendinopathy (NIT) at the Achilles enthesis on US
Outcome
Average proportion of affected anatomic sites for each US abnormality at the Achilles enthesis
Methodological detailsrandom-effects meta-analysis, weighted by study size
  • Random-effects meta-analysis
  • Weighted by study size

Pooled result

As reported in the abstract

Achilles enthesis thickening

Further pooled results

Increased vascularity at the enthesis

Erosions

Original publication

Ultrasound evaluation of the Achilles enthesis in inflammatory and non-inflammatory processes: a systematic review and meta-analysis. Clin Exp Rheumatol. Published 6 October 2021. doi:10.55563/clinexprheumatol/6vg24c

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