지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objective. To investigate simple radiographic findings on painful heels in ankylosing spondylitis (AS). Heel radiography in most studies was from AS patients’ non-painful heel. Methods. Seventy AS patients (34 bilateral cases) with heel pain at the time digital radiographs were taken were studied. Standing lateral views (104 radiographs) of the heel were reviewed. Associations between radiologic abnormalities and disease duration and among various abnormal findings were analyzed. Results. Ninety-six (93.4%) had radiographic abnormalities (82.7% in soft tissues/61.5% in bone). Abnormalities of bone only were observed in 9.6%, of the soft tissues only in 30.8%, and of both were 51.9%. These included Kager’s triangle’s blurring (77.9%), posterior soft tissue swellings near the Achilles tendon insertion (65.4%), obliterations of the retrocalcaneal recess (65.4%), erosions of the superior pole of the posterior calcaneus (31.7%), subplantar irregular spurs (20.2%), posterior traction spurs (16.3%), subplantar erosions (14.4%) and cortical thickenings of the inferior calcaneal body (5.8%). There was a significant association between swelling in the posterior soft tissue and obliteration of the retrocalcaneal recess (p＜0.001). Conclusion. Digital radiography in AS is useful for observing not only bony lesions but also soft tissue abnormalities of the heel, particularly of the posterior heel. For assessing the symptomatic enthesitis of the Achilles, this simple and quick diagnostic tool is valuable when examining for soft tissues’ alterations of the posterior heel. (J Rheum Dis 2017;24:93-98)
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참고문헌 (20)
참고문헌 신청
Gerster JC / 1977 / The painful heel. Comparative study in rheumatoid arthritis, ankylosing spondylitis, Reiter's syndrome, and generalized osteoarthrosis / Ann Rheum Dis 36:343~348
Dougados M / 1991 / The European Spondylarthropathy Study Group preliminary criteria for the classification of spondylarthropathy / Arthritis Rheum 34:1218~1227
Spadaro A / 2011 / Clinical and ultrasonography assessment of peripheral enthesitis in ankylosing spondylitis / Rheumatology(Oxford) 50:2080~2086
Mason RM / 1959 / A comparative radiological study of Reiter's disease, rheumatoid arthritis and ankylosing spondylitis / J Bone Joint Surg Br 41-B:137~148
Gibbon WW / 1994 / Heel pain / Ann Rheum Dis 53:344~348
Dougados M / 1991 / The European Spondylarthropathy Study Group preliminary criteria for the classification of spondylarthropathy / Arthritis Rheum 34:1218~1227
Spadaro A / 2011 / Clinical and ultrasonography assessment of peripheral enthesitis in ankylosing spondylitis / Rheumatology(Oxford) 50:2080~2086
Mason RM / 1959 / A comparative radiological study of Reiter's disease, rheumatoid arthritis and ankylosing spondylitis / J Bone Joint Surg Br 41-B:137~148
Gibbon WW / 1994 / Heel pain / Ann Rheum Dis 53:344~348
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