Manuel Domingo DAngelo del CampoClaudia A. FiorentinoJosé M. López‐ReyÓscar Cambra‐MooArmando González MartínDaniel García‐MartínezSoledad Salega2026-03-222026-03-22202610.1002/ajpa.70207https://doi.org/10.1002/ajpa.70207https://andeanlibrary.org/handle/123456789/79532The study suggests that macroscopic EC grades may not represent successive phases of bone remodeling and adaptation to mechanical loading. Bone growth of entheses with degrees 1 and 2 is gradual, with a compact and well-organized internal anatomy, whereas entheses with degree 3 may result from extreme mechanical stress that triggers intense bone (re)modeling. Micro-CT and histology provided complementary insights, supporting non-destructive methods for future research.enEnthesisMaterials scienceTrabecular boneBiomechanicsBiomedical engineeringarticle