Peripheral enthesopathy in diffuse idiopathic skeletal hyperostosis (DISH): A radiologic study

G. O. Littlejohn, M. B. Urowitz

Research output: Contribution to journalArticleResearchpeer-review

39 Citations (Scopus)


Radiographs of selected peripheral entheseal regions from 32 patients with axial diffuse idiopathic skeletal hyperostosis (DISH) were examined for the presence of new bone formation. The prevalence of entheseal new bone in the various regions was as follows: 98% of tibial spines, 91% of posterior heel regions and about 80% of superior patella, olecranon and inferior heel regions. The new bone showed characteristic solid well defined cortical margins without features of inflammatory change. We suggest that further attention to these readily accessible and easily interpretable peripheral entheseal regions, particularly the posterior heel, may be useful to extend the diagnostic criteria of DISH.

Original languageEnglish
Pages (from-to)568-572
Number of pages5
JournalThe Journal of Rheumatology
Issue number4
Publication statusPublished - 1 Dec 1982

Cite this