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

Klauser, Andrea; Pamminger, Mathias; Halpern, Ethan J.; Ellah, Mohamed M. H. Abd; Moriggl, Bernhard; Taljanovic, Mihra S.; Deml, Christian; Sztankay, Judith; Klima, G.; Grüber, L.; Jaschke, Werner

doi:10.1148/radiol.2016160139

Cited by 21 publications

(5 citation statements)

References 15 publications

(17 reference statements)

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“… The SR of medial portion of the extensor tendon correlates with night pain ( ρ = − 0.522, p = 0.03) and duration of symptoms ( ρ = − 0.61, p = 0.01). Klauser et al 2017 [ 43 ] 16 cadavers/25 common flexor tendons. Laboratory study using cadaveric models.…”

Section: Resultsmentioning

confidence: 99%

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Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury

et al. 2018

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Ultrasound elastography (USE) is a recent technology that has experienced major developments in the past two decades. The assessment of the main mechanical properties of tissues can be made with this technology by characterisation of their response to stress. This article reviews the two major techniques used in musculoskeletal elastography, compression elastography (CE) and shear-wave elastography (SWE), and evaluates the studies published on major electronic databases that use both techniques in the context of tendon pathology. CE accounts for more studies than SWE. The mechanical properties of tendons, particularly their stiffness, may be altered in the presence of tendon injury. CE and SWE have already been used for the assessment of Achilles tendons, patellar tendon, quadriceps tendon, epicondylar tendons and rotator cuff tendons and muscles. Achilles tendinopathy is the most studied tendon injury with USE, including the postoperative period after surgical repair of Achilles rupture tendon. In relation to conventional ultrasound (US), USE potentially increases the sensitivity and diagnostic accuracy in tendinopathy, and can detect pathological changes before they are visible in conventional US imaging. Several technical limitations are recognised, and standardisation is necessary to ensure repeatability and comparability of the results when using these techniques. Still, USE is a promising technique under development and may be used not only to promote an early diagnosis, but also to identify the risk of injury and to support the evaluation of rehabilitation interventions.Key Points• USE is used for the assessment of the mechanical properties of tissues, including the tendons.• USE increases diagnostic performance when coupled to conventional US imaging modalities.• USE will be useful in early diagnosis, tracking outcomes and monitoring treatments of tendon injury.• Technical issues and lack of standardisation limits USE use in the assessment of tendon injury.

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Section: Resultsmentioning

confidence: 99%

“…Three studies concluded that USE was superior to conventional US in terms of accuracy and/or sensitivity [ 39 , 41 , 42 ]. Klauser et al studied epicondylar tendons in cadavers and concluded that the combination of USE and conventional US provided better correlation with histology than the use of both modalities alone [ 43 , 44 ].…”

Section: Resultsmentioning

confidence: 99%

Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury

et al. 2018

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“…58 In diagnosing medial epicondylitis, the addition of USE to B-mode US provides a significant improvement in the agreement between imaging and histologic results compared with either B-mode US or USE alone. 59 Furthermore, USE proved to have higher diagnostic performance compared with B-mode US. 60 Several studies showed softening of common extensor origin in the patients with lateral epicondylitis.…”

Section: Tendonmentioning

confidence: 99%

Ultrasound Elastography in Musculoskeletal Radiology: Past, Present, and Future

Snoj

Taljanovic

et al. 2020

Semin Musculoskelet Radiol

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Ultrasound elastography (USE) is becoming an important adjunct tool in the evaluation of various musculoskeletal (MSK) traumatic conditions and diseases, with an increasing number of applications and publications in recent years. This rapidly evolving technique enhances the conventional ultrasound (US) examination by providing information on the elastic properties of tissue alongside the morphological and vascular information obtained from B-mode US and Doppler imaging. Those performing USE must have basic knowledge of its proper imaging techniques and limitations. In this review article, we place the USE in historical perspective and discuss basic techniques and current applications of USE in the evaluation of various traumatic and pathologic conditions of fasciae, nerves, muscles, tendons, ligaments, and MSK soft tissue masses.

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“…For lateral epicondylitis the addition of SE to B-mode ultrasound findings improves the sensitivity for detecting tendon pathology [324,325]. Using B-mode ultrasound in combination with SE resulted in a better correlation with histologic results.…”

Section: Tendonsmentioning

confidence: 99%

The EFSUMB Guidelines and Recommendations for the Clinical Practice of Elastography in Non-Hepatic Applications: Update 2018

et al. 2019

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

Cited by 21 publications

References 15 publications

Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury

Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury

Ultrasound Elastography in Musculoskeletal Radiology: Past, Present, and Future

The EFSUMB Guidelines and Recommendations for the Clinical Practice of Elastography in Non-Hepatic Applications: Update 2018

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