Assessment of Disease

Enthesitis assessment - Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) The Maastricht ankylosing spondylitis enthesitis score (MASES), developed in patients with AS, has been used in AS and AxSpA consistently, with good performance. • MASES is a validated score mainly used in research. • Thirteen sites are assessed: - Costochondral 1 right/left (a) - Costochondral 7 right/left (b) - Spina iliaca anterior superior right/left (c) - Crista iliaca right/left (d) - Spina iliaca posterior right/left (e) - Processus spinosus L5 (f) - Achilles tendon, insertion right/left (g) • All sites are scored as 0 or 1 • The MASES is the sum of all site scores (from 0 to 13) ref: Heuft-Dorenbosch L, Spoorenberg A, van Tubergen A et al. Assessment of enthesitis in ankylosing spondylitis. Ann Rheum Dis 2003;62:127–32. Mease PJ. Arthritis Care Res 2011;63(S11):S64–S85 (a) (b) (c) (e) (f) (d) (g) 1st Costochondral joint (L,R) (a) 7th Costochondral joint (L,R) (b) Anterior superior iliac spine (L,R) ( c ) Inferior margin of tenth costal cartilage Anterior superior iliac spine Pubic symphysis Achilles tendon insertion (L,R) C7 spinous process (vertebra prominens) T3 spinous process Scapular spine T7 spinous process Inferior angle of scapula T12 spinous process L4 spinous process ilac cres Posterior superior ilac spine S2 spinous process Posterior superior iliac spine (L,R) Iliac crest (L,R) T3 T7 T10 T12 IC IC PSIS PSIS T3 T7 T12 L4 S2 Spinous process of L5 24

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