Diagnostic Value of Ultrasonography for Clinical Medial Epicondylitis

Abstract

Our results indicate that ultrasonography is informative and accurate for the detection of clinical medial epicondylitis. Therefore, ultrasonography should be considered as an initial imaging method for evaluating medial epicondylitis.

Common Flexor Tendon Tear Following Yoga and Local Corticosteroid Injections: A Case Report

“…Rupture of the common extensor tendon of the wrist has been reported in athletes [2]. However, there are few reports in the literature that describe a complete tear of the common flexor tendon of the wrist [3,4]. In the present case report, we describe a complete tear of the common flexor tendon of the wrist in a 52-year-old housewife.…”

“…Park et al have classified the common flexor tendon pathology as tendinosis, partialthickness tear, or full-thickness tear. In their study, none of the 21 elbows of 43 patients who were examined had a full-thickness tear [3]. This indicated that a complete tear of the common flexor tendon of the wrist is a rare finding during ultrasound examination for medial elbow pain.…”

“…In addition to the severity of tendinopathy, ultrasonography provides additional information, including calcification, increased vascularity, and the extent of tendon tear [13]. The sensitivity and specificity of the ultrasonography have been reported as up to 95.2% and 92%, respectively, for medial epicondylitis [3]. Park et al have classified the common flexor tendon pathology as tendinosis, partialthickness tear, or full-thickness tear.…”

Sonoelastography of the Common Flexor Tendon of the Elbow with Histologic Agreement: A Cadaveric Study

“…In addition, we did not have information on the medical history of the body donors, and because of the advanced age of the donors, we found a much higher prevalence of alterations of the common flexor tendon than that described in the literature (13). A cadaver model also does not allow for color Doppler imaging, although the applicability of this method has already been shown (10).…”

“…However, just more than half (55%) of all pathologic tendons were correctly identified by using each individual method. Park et al (10) published higher values for sensitivity (95%) of B-mode US by using clinical examination as the diagnostic standard. It is likely that this difference is related to early and low-grade tendinopathy of the common flexor tendon that is apparent at histologic examination but may be difficult to detect with US.…”