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Enthesopathies, inflammatory spondyloarthropathies and bone scintigraphy.

E ntheses are the site of bony attachments of ligaments and tendons. Inflammatory changes at these sites (enthesopathy) may be the first or only sign of this disease and the leading manifestation of disease in patients with inflammatory spondyloarthropathics (/). It is most commonly found at the insertions of the achules tendon and the plantar fascia but may occur in other sites such as spine and pelvis, femoral trochanter, humeral tuberosity, tibial tuberosity, patella and olecranon. Awareness of the patterns of enthesopathy findings on bone scans may help in the early diagnosis of systemic inflammatory spondyloar thropathy. Increased uptake of l)9mTc-methylene diphosphonate