|Enthesopathy of the pelvis likely due to ankylosing spondylitis|
An enthesopathy refers to a disorder involving the attachment of a tendon or ligament to a bone. This site of attachment is known as the enthesis (pl. entheses). If the condition is known to be inflammatory, it can more precisely be called an enthesitis.
Enthesopathies may take the form of spondyloarthropathies (joint diseases of the spine) such as ankylosing spondylitis, plantar fasciitis, and Achilles tendinitis. Enthesopathy can occur at the shoulder, elbow, wrist, carpus, hip, knee, ankle, tarsus, or heel bone, among other regions. Further examples include:
- Adhesive capsulitis of shoulder
- Rotator cuff syndrome of shoulder and allied disorders
- Periarthritis of shoulder
- Scapulohumeral fibrositis
- Synovitis of hand or wrist
- Periarthritis of wrist
- Gluteal tendinitis
- Iliac crest spur
- Psoas tendinitis
- Trochanteric tendinitis
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Mainly by clinical examination and provocative tests by counter acting the muscle action.
Experts state that the main stay of treatment is basically with passive stretching augmented with analgesics during acute attacks. Soft cushioned foot wear for plantar fasciitis, work modification are other modalities of preventing the disease progression. Rarely calcified attachment can be removed either minimally invasive or through arthroscopy. Earlier injection of steroid as mixed with local anaesthetic at the tender spot was a widely used treatment modality. Recent advancement include injection of platelet rich plasma or stem cells to reduce inflammation and to promote healing.
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