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Chirurgia Del Piede 2004 September;28(3):93-8

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: Italian

Enthesopathy: general aspects

Clerico P., Pasquali M., Petruccelli E.


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The various forms of enthesopathy have a similar anatomical, pathological and radiographic presentation and their aetiopathological differentiation is often difficult. It should be remembered, however, that the involvement of entheses in inflammatory forms is often an early sign affecting relatively young subjects. In this case, enthesitis is characterised by a typical pain symptomatology that is more evident in the morning and that improves in the course of the day. In the degenerative forms, on the other hand, pain is associated above all with functional stress. Recognition of enthesitic symptomatology is fundamental for the correct diagnostic and therapeutic classification of these conditions in relation among other things to the fact that signs can sometimes appear years earlier than the onset of the typical radiographic lesions in the articular and extra-articular locations affected by the inflammatory process.

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