{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:47:17Z","timestamp":1785844037358,"version":"3.56.0"},"reference-count":36,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","mcpiqojournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Mayo Clinic Proceedings: Innovations, Quality & Outcomes"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.mayocpiqo.2026.100734","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T16:00:28Z","timestamp":1782230428000},"page":"100734","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Hidden Burden of Entheseal Pathology in Lower-Limb Pain: A Real-World Ultrasound Study of 667 Adults"],"prefix":"10.1016","volume":"10","author":[{"given":"Tomasz","family":"Pobo\u017cy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6354-7457","authenticated-orcid":false,"given":"Kacper","family":"Janowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142","family":"Doma\u0144ski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7812-0827","authenticated-orcid":false,"given":"Klaudia","family":"Michalak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamil","family":"Pobo\u017cy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Doma\u0144ska-Pobo\u017ca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech","family":"Konarski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iga","family":"Chu\u015b\u0107","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"Kielar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.mayocpiqo.2026.100734_bib1","article-title":"Musculoskeletal Disorders a Universal Source of Pain and Disability Misunderstood and Mismanaged: A Critical Analysis Based on the U.S. Model of Care","volume":"8","author":"Malik","year":"2018","journal-title":"Anesth Pain Med"},{"issue":"6","key":"10.1016\/j.mayocpiqo.2026.100734_bib2","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1136\/annrheumdis-2013-204344","article-title":"The global burden of musculoskeletal conditions for 2010: an overview of methods","volume":"73","author":"Hoy","year":"2014","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"10.1016\/j.mayocpiqo.2026.100734_bib3","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.berh.2006.10.007","article-title":"Lower limb pain","volume":"21","author":"Dreinh\u00f6fer","year":"2007","journal-title":"Best Practice & Research Clinical Rheumatology"},{"key":"10.1016\/j.mayocpiqo.2026.100734_bib4","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.semradonc.2025.10.002","article-title":"Periarticular Soft Tissue Disorders: Enthesopathies, Tendinopathies, and Bursitis\u2014Pathophysiology and Radiotherapeutic Approaches","volume":"36","author":"Koneru","year":"2026","journal-title":"Seminars in Radiation Oncology"},{"key":"10.1016\/j.mayocpiqo.2026.100734_bib5","series-title":"Enthesopathies","author":"Alvarez","year":"2026"},{"issue":"6","key":"10.1016\/j.mayocpiqo.2026.100734_bib6","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1177\/19417381251314078","article-title":"Orthopaedic Sports Injuries in an Aging Population: Current Trends and Future Projections","volume":"17","author":"Zaifman","year":"2025","journal-title":"Sports Health"},{"issue":"1","key":"10.1016\/j.mayocpiqo.2026.100734_bib7","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1186\/s12891-019-2629-6","article-title":"Prevalence and incidence rate of lower-extremity tendinopathies in a Danish general practice: a registry-based study","volume":"20","author":"Riel","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"issue":"13","key":"10.1016\/j.mayocpiqo.2026.100734_bib8","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1136\/bjsports-2011-090342","article-title":"Incidence of midportion Achilles tendinopathy in the general population","volume":"45","author":"de Jonge","year":"2011","journal-title":"Br J Sports Med"},{"issue":"12","key":"10.1016\/j.mayocpiqo.2026.100734_bib9","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1038\/nrrheum.2017.188","article-title":"Enthesitis: from pathophysiology to treatment","volume":"13","author":"Schett","year":"2017","journal-title":"Nat Rev Rheumatol"},{"issue":"1","key":"10.1016\/j.mayocpiqo.2026.100734_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.berh.2024.101966","article-title":"Enthesopathies \u2013 Mechanical, inflammatory or both?","volume":"38","author":"Sabido-Sauri","year":"2024","journal-title":"Best Practice & Research Clinical Rheumatology"},{"key":"10.1016\/j.mayocpiqo.2026.100734_bib11","doi-asserted-by":"crossref","DOI":"10.1111\/prd.12619","article-title":"Inflammation and mechanical force-induced bone remodeling","author":"Jeon","year":"2024","journal-title":"Periodontol 2000"},{"issue":"4","key":"10.1016\/j.mayocpiqo.2026.100734_bib12","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1002\/j.2205-0140.2010.tb00174.x","article-title":"Enthesopathy - a personal perspective on its manifestations, implications and treatment","volume":"13","author":"Cormick","year":"2010","journal-title":"Australas J Ultrasound Med"},{"issue":"95","key":"10.1016\/j.mayocpiqo.2026.100734_bib13","doi-asserted-by":"crossref","first-page":"e172","DOI":"10.15557\/JoU.2023.0027","article-title":"Musculoskeletal ultrasound: a technical and historical perspective","volume":"23","author":"Adler","year":"2023","journal-title":"J Ultrason"},{"issue":"12","key":"10.1016\/j.mayocpiqo.2026.100734_bib14","first-page":"2485","article-title":"Musculoskeletal ultrasound including definitions for ultrasonographic pathology","volume":"32","author":"Wakefield","year":"2005","journal-title":"J Rheumatol"},{"issue":"12","key":"10.1016\/j.mayocpiqo.2026.100734_bib15","doi-asserted-by":"crossref","first-page":"1730","DOI":"10.1136\/annrheumdis-2018-213609","article-title":"Reliability of a consensus-based ultrasound definition and scoring for enthesitis in spondyloarthritis and psoriatic arthritis: an OMERACT US initiative","volume":"77","author":"Balint","year":"2018","journal-title":"Ann Rheum Dis"},{"issue":"10","key":"10.1016\/j.mayocpiqo.2026.100734_bib16","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.3899\/jrheum.181158","article-title":"The OMERACT Stepwise Approach to Select and Develop Imaging Outcome Measurement Instruments: The Musculoskeletal Ultrasound Example","volume":"46","author":"Terslev","year":"2019","journal-title":"J Rheumatol"},{"issue":"6","key":"10.1016\/j.mayocpiqo.2026.100734_bib17","doi-asserted-by":"crossref","DOI":"10.1186\/ar3516","article-title":"Ultrasound in the evaluation of enthesitis: status and perspectives","volume":"13","author":"Gandjbakhch","year":"2011","journal-title":"Arthritis Res Ther"},{"key":"10.1016\/j.mayocpiqo.2026.100734_bib18","doi-asserted-by":"crossref","first-page":"7423","DOI":"10.2147\/JMDH.S553547","article-title":"Global Trends and Hotspots in Ultrasound Imaging for Rehabilitation Research: A Bibliometric and Visualization Analysis","volume":"18","author":"Qian","year":"2025","journal-title":"J Multidiscip Healthc"},{"issue":"14","key":"10.1016\/j.mayocpiqo.2026.100734_bib19","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.3390\/diagnostics15141827","article-title":"A Plea for a Paradigm Shift from X-Ray to Ultrasound in Adults: An Update for Emergency Physicians, General Practitioners, Orthopedists and Sports Medicine Physicians","volume":"15","author":"Osterwalder","year":"2025","journal-title":"Diagnostics"},{"issue":"7","key":"10.1016\/j.mayocpiqo.2026.100734_bib20","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1136\/annrheumdis-2014-206971","article-title":"EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice","volume":"74","author":"Mandl","year":"2015","journal-title":"Ann Rheum Dis"},{"issue":"5","key":"10.1016\/j.mayocpiqo.2026.100734_bib21","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1136\/adc.2003.028860","article-title":"Epidemiology of musculoskeletal pain in primary care","volume":"89","author":"De Inocencio","year":"2004","journal-title":"Arch Dis Child"},{"key":"10.1016\/j.mayocpiqo.2026.100734_bib22","doi-asserted-by":"crossref","first-page":"196","DOI":"10.15557\/JoU.2015.0017","article-title":"Enthesopathies and enthesitis. Part 2: Imaging studies","volume":"61","author":"Sudo\u0142-Szopi\u0144ska","year":"2015","journal-title":"Journal of Ultrasonography"},{"issue":"12","key":"10.1016\/j.mayocpiqo.2026.100734_bib23","doi-asserted-by":"crossref","first-page":"1850","DOI":"10.1136\/ard.2008.096511","article-title":"Reliability of high-resolution ultrasonography in the assessment of Achilles tendon enthesopathy in seronegative spondyloarthropathies","volume":"68","author":"Filippucci","year":"2009","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"10.1016\/j.mayocpiqo.2026.100734_bib24","first-page":"24","article-title":"Ultrasound evaluation of the Achilles enthesis in inflammatory and non-inflammatory processes: a systematic review and meta-analysis","volume":"41","author":"Desai","year":"2023","journal-title":"Clin Exp Rheumatol"},{"issue":"7","key":"10.1016\/j.mayocpiqo.2026.100734_bib25","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1136\/ard-2023-225443","article-title":"Power Doppler signal at the enthesis and bone erosions are the most discriminative OMERACT ultrasound lesions for SpA: results from the DEUS (Defining Enthesitis on Ultrasound in Spondyloarthritis) multicentre study","volume":"83","author":"Di Matteo","year":"2024","journal-title":"Ann Rheum Dis"},{"issue":"9","key":"10.1016\/j.mayocpiqo.2026.100734_bib26","doi-asserted-by":"crossref","first-page":"1984","DOI":"10.1177\/0363546511413370","article-title":"Prevalence of Jumper's knee among nonelite athletes from different sports: a cross-sectional survey","volume":"39","author":"Zwerver","year":"2011","journal-title":"Am J Sports Med"},{"issue":"11","key":"10.1016\/j.mayocpiqo.2026.100734_bib27","doi-asserted-by":"crossref","first-page":"938","DOI":"10.2519\/jospt.2015.5841","article-title":"Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All","volume":"45","author":"Coombes","year":"2015","journal-title":"J Orthop Sports Phys Ther"},{"issue":"6","key":"10.1016\/j.mayocpiqo.2026.100734_bib28","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1136\/bjsm.2008.051193","article-title":"Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy","volume":"43","author":"Cook","year":"2009","journal-title":"Br J Sports Med"},{"issue":"4","key":"10.1016\/j.mayocpiqo.2026.100734_bib29","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/j.rdc.2016.07.012","article-title":"Imaging Evaluation of the Entheses: Ultrasonography, MRI, and Scoring of Evaluation","volume":"42","author":"D'Agostino","year":"2016","journal-title":"Rheum Dis Clin North Am"},{"issue":"12","key":"10.1016\/j.mayocpiqo.2026.100734_bib30","doi-asserted-by":"crossref","first-page":"5338","DOI":"10.1007\/s00330-018-5474-3","article-title":"Clinical indications for musculoskeletal ultrasound updated in 2017 by European Society of Musculoskeletal Radiology (ESSR) consensus","volume":"28","author":"Sconfienza","year":"2018","journal-title":"Eur Radiol"},{"issue":"4","key":"10.1016\/j.mayocpiqo.2026.100734_bib31","first-page":"548","article-title":"Diagnostic values of history and clinical examination to predict ultrasound signs of chronic and acute enthesitis","volume":"26","author":"Klauser","year":"2008","journal-title":"Clin Exp Rheumatol"},{"key":"10.1016\/j.mayocpiqo.2026.100734_bib32","series-title":"Imaging of the Knee: Techniques and Applications","first-page":"109","article-title":"Ultrasound","author":"Bianchi","year":"2023"},{"key":"10.1016\/j.mayocpiqo.2026.100734_bib33","series-title":"Fundamentals of musculoskeletal ultrasound","author":"Jacobson","year":"2018"},{"issue":"49","key":"10.1016\/j.mayocpiqo.2026.100734_bib34","doi-asserted-by":"crossref","first-page":"214","DOI":"10.15557\/JoU.2012.0008","article-title":"Ultrasound elastography for imaging tendons and muscles","volume":"12","author":"Drakonaki","year":"2012","journal-title":"J Ultrason"},{"issue":"3","key":"10.1016\/j.mayocpiqo.2026.100734_bib35","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.acra.2019.04.009","article-title":"Shear Wave Elastography (SWE) for the Evaluation of Patients with Plantar Fasciitis","volume":"27","author":"Gatz","year":"2020","journal-title":"Acad Radiol"},{"issue":"95","key":"10.1016\/j.mayocpiqo.2026.100734_bib36","doi-asserted-by":"crossref","first-page":"e285","DOI":"10.15557\/JoU.2023.0035","article-title":"Added value of high-resolution ultrasound and MRI in the evaluation of rheumatologic diseases","volume":"23","author":"Sahu","year":"2023","journal-title":"J Ultrason"}],"container-title":["Mayo Clinic Proceedings: Innovations, Quality & Outcomes"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S254245482600041X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S254245482600041X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:30:34Z","timestamp":1785843034000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S254245482600041X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S254245482600041X"],"URL":"https:\/\/doi.org\/10.1016\/j.mayocpiqo.2026.100734","relation":{},"ISSN":["2542-4548"],"issn-type":[{"value":"2542-4548","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Hidden Burden of Entheseal Pathology in Lower-Limb Pain: A Real-World Ultrasound Study of 667 Adults","name":"articletitle","label":"Article Title"},{"value":"Mayo Clinic Proceedings: Innovations, Quality & Outcomes","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.mayocpiqo.2026.100734","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc on behalf of Mayo Foundation for Medical Education and Research.","name":"copyright","label":"Copyright"}],"article-number":"100734"}}