Heuft-Dorenbosch et al modified the Mander Enthesis Index to make it easier to use and less time consuming to complete. The authors are from University Hospital Maastricht in The Netherlands.
Sites:
(1) first costochondral joint, left
(2) first costochondral joint, right
(3) fourth costochondral joint, left
(4) fourth costochondral joint, right
(5) seventh costochondral joint, left
(6) seventh costochondral joint, right
(7) posterior superior iliac spine, left
(8) posterior superior iliac spine, right
(9) anterior superior iliac spine, left
(10) anterior superior iliac spine, right
(11) iliac crest, left
(12) iliac crest, right
(13) first thoracic spinous process
(14) ninth thoracic spinous process
(15) fourth lumbar spinous process
(16) fifth lumbar spinous process
(17) proximal insertion of Achilles tendon, left
(18) proximal insertion of Achilles tendon, right
|
Pain |
Points |
|
absent |
0 |
|
present |
1 |
total score =
= SUM(points for all sites)
Interpretation:
• minimum score: 0
• maximum score (as reported): 18
• The higher the score the greater the enthesis.
• A score of one or higher was considered significant.
An alternative approach is to grade the intensity of pain and tenderness as in the original Mander enthesis index, in which case the maximum score is 54.
|
Pain and Tenderness at Each Site |
Points |
|
none |
0 |
|
mild tenderness |
1 |
|
moderate tenderness |
2 |
|
wince or withdraw (severe tenderness) |
3 |
Purpose: To evaluate a patient with ankylosing spondylitis using the reduced Mander Enthesis Index of Heuft-Dorenbosch et al.
Specialty: Immunology/Rheumatology
Objective: laboratory tests, criteria for diagnosis, response to therapy
ICD-10: M45, M08.1,
