The “enthesis organ” concept and its relevance to foot and ankle pathology: a literature review
2011

Understanding Enthesis and Its Role in Foot and Ankle Pain

Sample size: 39 publication Evidence: moderate

Author Information

Author(s): Tom Walsh, Chris Bishop

Primary Institution: Podiatry Department, Repatriation General Hospital, Daws Park, SA, Australia

Hypothesis

What mechanisms does the musculoskeletal system have for protecting tendinous entheses and what are the effects when these mechanisms are compromised?

Conclusion

Enthesopathy can develop for various reasons and is associated with chronic pain and changes in nail structure.

Supporting Evidence

  • The review included 39 articles that provided insights into the anatomy and pathology of tendinous entheses.
  • Histological examination showed that tendinous tissue interweaves with fibrocartilage and bone, forming a robust attachment.
  • Enthesopathy is linked with spondyloarthropathies and can present with varied symptoms.

Takeaway

The enthesis is where tendons connect to bones, and when it gets hurt, it can cause pain and other problems in the foot and ankle.

Methodology

An electronic database search and a secondary snowball method were used to gather literature on entheses.

Limitations

The review is limited to articles identified through specific search criteria and may not encompass all relevant literature.

Digital Object Identifier (DOI)

10.1186/1757-1146-4-S1-P56

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