Menz, HB, Marshall, M, Thomas, MJ, Rathod-Mistry, T, Peat, GM ORCID: https://orcid.org/0000-0002-9008-0184 and Roddy, E ORCID: https://orcid.org/0000-0001-8699-0735 (2019) Associations Between Calcaneal Enthesophytes and Osteoarthritis of the Hands and Feet. Arthritis Care and Research.

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Abstract

OBJECTIVE
To examine associations between calcaneal enthesophytes and osteoarthritis (OA) in the hands and feet, in order to provide insights into the role of biomechanical and systemic processes in the development of OA.

METHODS
Adults aged ≥50 years registered with four general practices were mailed a Health Survey. Responders reporting foot pain within the last 12 months underwent a detailed assessment including hand and foot radiographs. Calcaneal enthesophytes (plantar and posterior) and OA features (osteophytes and joint space narrowing) were documented. Associations between enthesophytes and hand and foot OA (including OA phenotypes and OA features at individual joints) were explored using generalised estimating equations, adjusting for age, sex and body mass index.

RESULTS
Data were available from 532 participants (298 women, mean [SD] age 64.9 [8.4] years). Calcaneal enthesophytes were not associated with hand OA phenotypes or OA at individual hand joints. In contrast, plantar calcaneal enthesophytes were positively associated with polyarticular foot OA (odds ratio [OR] 1.80, 95% confidence interval [CI] 1.02 - 3.17). When individual foot joints were examined, posterior enthesophytes were associated with talonavicular joint OA (OR 1.58, 95% CI 1.02 - 2.44) and plantar enthesophytes were associated with 1st metatarsophalangeal joint OA (OR 0.67, 95% CI 0.49 - 0.98) and navicular-cuneiform joint OA (OR 2.30, 95% CI 1.40 - 3.79). Patterns of association were similar for osteophytes and joint space narrowing.

CONCLUSION
Calcaneal enthesophytes are associated with foot OA but not hand OA. The pattern of association is indicative of a local, biomechanical rather than systemic bone-forming process.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via Wiley at http://doi.org/10.1002/acr.24030 - please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: enthesophytes, osteoarthritis, foot, hand
Subjects: R Medicine > RC Internal medicine > RC925 Diseases of the musculoskeletal system
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
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Depositing User: Symplectic
Date Deposited: 23 Aug 2019 08:25
Last Modified: 23 Aug 2019 08:31
URI: http://eprints.keele.ac.uk/id/eprint/6730

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