The incidence of enthesitis is high in healthy adults and patients with rheumatic immune diseases,and it is associated with disease activity and life quality of the patients.Currently,there are many consensus recommendations to focus on enthesitis,and further emphasize the clinical role of enthesitis.Musculoskeletal ultrasound is a preferred imaging method for evaluating of peripheral enthesis,many ultrasound scoring systems have been developed for evaluating enthesitis,but they have certain limitations.This article reviews the assessment methods of enthesitis,the application status of musculoskeletal ultrasound in the evaluation of enthesitis,and makes a reasonable prospect for future study of ultrasound evaluation.