{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:58:13Z","timestamp":1740149893240,"version":"3.37.3"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Most heel pain occurs at the posterior or plantar aspect, where main entheses of the heel are located. However, simple radiographs as basic work\u2010up tools, their features based on their association with local symptoms in the heel in ankylosing spondylitis (<jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content>) patients, have rarely been described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Forty patients with <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> and unilateral heel pain were enrolled to evaluate radiographic differences between symptomatic and asymptomatic heels. The two groups were assessed according to symptom location: posterior (group <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content>) or plantar (group <jats:styled-content style=\"fixed-case\">PL<\/jats:styled-content>). Typical abnormalities in bone and\/or soft tissue on the heel due to inflammation were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In group <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> (20 cases), 19 (95%) symptomatic feet and 7 (35%) asymptomatic feet showed abnormal findings on the posterior heel and symptomatic feet showed 6 (30%) plantar abnormalities. Erosion of the posterior calcaneal tuberosity, obliteration of the retrocalcaneal recess (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>), and swelling shadows with increased thickness on posterior soft tissue were observed more frequently and significantly in symptomatic feet in group <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05). In group <jats:styled-content style=\"fixed-case\">PL<\/jats:styled-content> (20 cases), 11 (55%) symptomatic feet and 8 (40%) asymptomatic feet showed abnormalities on the plantar heel and symptomatic feet showed 14 (70%) posterior abnormalities, and none showed significant differences between symptomatic and asymptomatic feet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among simple radiographic alterations on heels with <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content>, such changes around the enthesis of the Achilles as bony erosion and <jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> obliteration with swollen posterior soft tissue are strongly related to current painful posterior heels. Assessment of enthesitis of the Achilles tendon in <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> using plain radiography seems to be valid.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.13379","type":"journal-article","created":{"date-parts":[[2018,9,6]],"date-time":"2018-09-06T01:54:53Z","timestamp":1536198893000},"page":"222-227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Radiologic features in symptomatic\/asymptomatic heels of patients with ankylosing spondylitis"],"prefix":"10.1111","volume":"22","author":[{"given":"Tae\u2010Hwan","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Rheumatology Hanyang University Hospital for Rheumatic Diseases Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Kyu","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery School of Medicine Hanyang University Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyo\u2010Kyung","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Hanyang University Hospital for Rheumatic Diseases Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo\u2010Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Yeoncheon Health Center and Country Hospital Gyeonggi\u2010do Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young\u2010Sik","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery School of Medicine Hanyang University Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4757-5210","authenticated-orcid":false,"given":"Il\u2010Hoon","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery School of Medicine Hanyang University Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjtee.2015.03.002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2010.01.001"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2016.11.001"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1987.9.1.25"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31591-4"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780380407"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1148\/125.2.355"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/03009748909095411"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.36.4.343"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1148\/110.3.523"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780270401"},{"issue":"5","key":"e_1_2_8_13_1","first-page":"360","article-title":"Understanding interobserver agreement: the kappa statistic","volume":"37","author":"Viera AJ","year":"2005","journal-title":"Fam Med"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/00220973.1987.10806451"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1515\/cclm-2014-0226"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7580.2006.00510.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2004.03.013"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-7580.2001.19950503.x"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2009.03.005"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/anr.1780320316"},{"key":"e_1_2_8_21_1","first-page":"169","article-title":"Heel pain","volume":"28","author":"Tanz SS","year":"1963","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_8_22_1","first-page":"178","article-title":"Painful heel: report of 323 patients with 364 painful heels","volume":"39","author":"Lapidus PW","year":"1965","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-94-1-47"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2006.03.028"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195032040-00012"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.24.5.490"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20548"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2010.487245"},{"issue":"3","key":"e_1_2_8_29_1","first-page":"422","article-title":"Achilles enthesis ultrasound: the importance of the bursa in spondyloarthritis","volume":"31","author":"Falcao S","year":"2013","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-002-0585-x"},{"issue":"9","key":"e_1_2_8_31_1","first-page":"1957","article-title":"Heel spur formation and the subcalcaneal enthesis of the plantar fascia","volume":"29","author":"Kumai T","year":"2002","journal-title":"J Rheumatol"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/joa.12607"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-2-32"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2006.02.004"}],"container-title":["International Journal of Rheumatic Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1756-185X.13379","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1756-185X.13379","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T17:06:34Z","timestamp":1694711194000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1756-185X.13379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,5]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/1756-185X.13379"],"URL":"https:\/\/doi.org\/10.1111\/1756-185x.13379","archive":["Portico"],"relation":{},"ISSN":["1756-1841","1756-185X"],"issn-type":[{"type":"print","value":"1756-1841"},{"type":"electronic","value":"1756-185X"}],"subject":[],"published":{"date-parts":[[2018,9,5]]},"assertion":[{"value":"2017-11-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}