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Musculoskeletal Imaging

Enthesis

the site of attachment of a tendon or ligament to bone. The enthesis consists of four zones: the tendon, unmineralized fibrocartilage, mineralized fibrocartilage and lamellar bone. Entheses are metabolically active and are nourished by blood supply from the peritenon, perichondrium and periosteum.

Entheses are involved in a number of inflammatory, traumatic and degenerative processes (enthesitis or enthesopathy).

Radiographically detectable bone excrescences may occur in various degenerative disorders; these bone outgrowths are termed enthesophytes or spurs.

DR