Ultrasound evaluation of the Achilles enthesis in inflammatory and non-inflammatory processes: a 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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