Clinical implications of reconsideration of enthesitis/enthesopathy/enthesial erosion,as tendon attachmentlocalized avulsions and stress fracture equivalents  

作　　者：Bruce M Rothschild 

机构地区：[1]Department of Medicine,Indiana University Ball Memorial Hospital,Muncie,IN 47303,United States

出　　处：《World Journal of Orthopedics》2024年第10期902-907,共6页世界骨科杂志（英文）

摘　　要：Recognizing the mechanical origin of enthesitis/enthesopathy and the avulsion-nature of what had previously been considered erosions,it seems inappropriate to attribute it to stresses related to a person’s normal activities.Conversely,sudden or unconditioned repetitive stresses appears the more likely culprit.Studies of enthesial reaction have lacked standardization as to findings present among individuals who appear to be healthy.Clinical evaluation by palpation and mani-pulation may be as effective as application of radiologic techniques.Recognition of the mechanical nature of the disease,including individuals with inflammatory arthritis suggests prescription of mechanical solutions that reduce stresses across the involved enthesis.

关 键 词：ENTHESITIS EPICONDYLITIS EROSION AVULSION Clinical examination 

分 类 号：R687.3[医药卫生—骨科学]