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  • Enthesis: Where Tendon Meets Bone

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    The enthesis is the point where tendons, ligaments, or muscles attach to bone. There are two types of entheses: fibrous, where collagen directly attaches to bone, and fibrocartilaginous, which has four transitional zones from tendon to bone including fibrocartilage and calcified fibrocartilage. A disease of the entheses is called an enthesopathy or enthesitis, which is characteristic of spondyloarthropathy. The enthesis is the primary site of ankylosing spondylitis.

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    En Thesis

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    The enthesis is the point where tendons, ligaments, or muscles attach to bone. There are two types of entheses: fibrous, where collagen directly attaches to bone, and fibrocartilaginous, which has four transitional zones from tendon to bone including fibrocartilage and calcified fibrocartilage. A disease of the entheses is called an enthesopathy or enthesitis, which is characteristic of spondyloarthropathy. The enthesis is the primary site of ankylosing spondylitis.

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    35 views3 pages

    Enthesis: Where Tendon Meets Bone

    Uploaded by

    Anya LovesCoffee
    The enthesis is the point where tendons, ligaments, or muscles attach to bone. There are two types of entheses: fibrous, where collagen directly attaches to bone, and fibrocartilaginous, which has four transitional zones from tendon to bone including fibrocartilage and calcified fibrocartilage. A disease of the entheses is called an enthesopathy or enthesitis, which is characteristic of spondyloarthropathy. The enthesis is the primary site of ankylosing spondylitis.

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    of 3

    Enthesis

    Enthesis
    Enthesis

    Typical Joint Code TH H3.03.00.0.00034


    [1]

    Enthesis (plural: entheses) is the point at which a tendon or ligament[2] or muscle[3] inserts into bone, where the collagen fibers are mineralized and integrated into bone tissue. The collagen to bone interface is via Sharpey's fibers.

    Classification
    There are two types: Fibrous entheses Fibrocartilaginous entheses In a fibrous enthesis, the collagenous tendon or ligament directly attaches to the bone, whilst the fibrocartilaginous enthesis displays 4 zones during the transition from tendon/ligament to bone: i) tendinous area displaying longitudinally oriented fibroblasts and a parallel arrangement of collagen fibres ii) a fibrocartilaginous region of variable thickness where the structure of the cells changes to chondrocytes iii) an abrupt transition from cartilaginous to calcified fibrocartilage - the so-called 'tidemark' or 'blue line' iv) bone

    Pathology
    A disease of the entheses is known as an "enthesopathy" or "enthesitis" and is characteristic of spondyloarthropathy but is present in other pathologies as well. The enthesis is the primary site of ankylosing spondylitis.

    References
    [1] http:/ / www. unifr. ch/ ifaa/ Public/ EntryPage/ ViewTH/ THh303. html

    External links
    Image of enthesis (http://images.medscape.com/pi/editorial/cmecircle/2004/2890/images/slide13.gif) at Medscape Enthesopathy and Soft Tissue Shadows (http://www.chiroweb.com/archives/18/19/23.html) at chiroweb.com Resnick D, Niwayama G (1983). "Entheses and enthesopathy. Anatomical, pathological, and radiological correlation" (http://radiology.rsnajnls.org/cgi/content/abstract/146/1/1). Radiology 146 (1): 19. PMID 6849029 (http://www.ncbi.nlm.nih.gov/pubmed/6849029).

    Enthesis Origin of phrase at rheuma21st.com (http://www.rheuma21st.com/archives/report_khan_2int_enthesitis_meet. html) at rheuma21st.com

    Article Sources and Contributors

    Article Sources and Contributors


    Enthesis Source: http://en.wikipedia.org/w/index.php?oldid=544208263 Contributors: Arcadian, Bearcat, Caerwine, CrystallynF, DiamonDie, Madhero88, Thewildtype, Xezbeth, 5 anonymous edits

    Image Sources, Licenses and Contributors


    Image:Joint.png Source: http://en.wikipedia.org/w/index.php?title=File:Joint.png License: Creative Commons Attribution-Sharealike 3.0 Contributors: Madhero88

    License
    Creative Commons Attribution-Share Alike 3.0 Unported //creativecommons.org/licenses/by-sa/3.0/

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