Tennis elbow

Kumar, Shyam; Stanley, David; Burke, Naomi; Mullett, Hannan

doi:10.1308/rcsann.2011.93.6.432

Cited by 13 publications

(6 citation statements)

References 26 publications

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“…The technique involves debridement the diseased tendon and cortication of the bone. If moderate or severe injury of the LUCL is not realized before the surgery, it may lead to further destabilization of the elbow [12] . Therefore, the patients with lateral epicondylitis, especially moderate and severe lateral epicondylitis, should be recommended for further MR examination to evaluate the extent of the LUCL injury.…”

Section: Discussionmentioning

confidence: 99%

MR Imaging of Patients with Lateral Epicondylitis of the Elbow: Is the Common Extensor Tendon an Isolated Lesion?

Zhu

et al. 2013

PLoS ONE

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ObjectiveTo investigate whether an injury of the common extensor tendon (CET) is associated with other abnormalities in the elbow joint and find the potential relationships between these imaging features by using a high-resolution magnetic resonance imaging (MRI).MethodsTwenty-three patients were examined with 3.0 T MR. Two reviewers were recruited for MR images evaluation. Image features were recorded in terms of (1) the injury degree of CET; (2) associated injuries in the elbow joint. Spearman’s rank correlation analysis was performed to analyze the relationships between the injury degree of CET and associated abnormalities of the elbow joint, correlations were considered significant at p<0.05.ResultsTotal 24 elbows in 23 patients were included. Various degrees of injuries were found in total 24 CETs (10 mild, 7 moderate and 7 severe). Associated abnormalities were detected in accompaniments of the elbow joints including ligaments, tendons, saccussynovialis and muscles. A significantly positive correlation (r = 0.877,p<0.01) was found in injuries of CET and lateral ulnar collateral ligament (LUCL).ConclusionInjury of the CET is not an isolated lesion for lateral picondylitis, which is mostly accompanied with other abnormalities, of which the LUCL injury is the most commonly seen in lateral epicondylitis, and there is a positive correlation between the injury degree in CET and LUCL.

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Section: Discussionmentioning

confidence: 99%

MR Imaging of Patients with Lateral Epicondylitis of the Elbow: Is the Common Extensor Tendon an Isolated Lesion?

Zhu

et al. 2013

PLoS ONE

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“…In general, imaging is not initially performed, but it is helpful for evaluating disease extent, excluding other elbow joint diseases, and for surgical planning. Magnetic resonance imaging (MRI) is the most widely used imaging modality and has high sensitivity, specificity, and accuracy for diagnosing lateral epicondylitis 4, 5, 6. CET injury is a characteristic imaging finding of lateral epicondylitis, and previous studies have shown a radial collateral ligament (RCL) or lateral ulnar collateral ligament (LUCL) abnormality is a finding that frequently accompanies CET injury 1, 7, 8, 9.…”

Section: Introductionmentioning

confidence: 99%

Magnetic resonance imaging of patients with lateral epicondylitis: Relationship between pain and severity of imaging features in elbow joints

Kim

Park

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThe aim of this study was to determine the inter- and intra-observer reliabilities of magnetic resonance imaging (MRI) for the diagnosis of lateral epicondylitis, to examine whether degree of common extensor tendon (CET) injury is related to other elbow abnormalities on MRI, and to investigate the correlation between elbow abnormalities on MRI and patients' symptoms.MethodsFifty-one patients (32 women and 19 men; mean age: 50 years (range, 22–63)) with a diagnosis of lateral epicondylitis were included in the study. The average duration of symptoms was 2.3 years. MRI scoring system was used to grade the CET injuries and associated injuries in the elbow joint. Three independent radiologists retrospectively reviewed MRI images. Inter- and intra-observer reliabilities for diagnosing lateral epicondylitis were calculated using kappa statistics, and Spearman's rank correlation analysis was used to analyze relationships between degree of CET injury and the associated abnormalities of elbow joints. Statistical relations were considered significant for p values of <0.05. In addition, using Spearman's rank correlation analysis, CET injuries and associated abnormalities of elbow joints were correlated with clinical symptoms using visual analog scale pain scores.ResultsVarious degrees of CET injuries were found in total of 51 patients. Radial collateral ligament and lateral ulnar collateral ligament (RCL/LCL) was the most common accompanying elbow abnormality other than CET injuries. Inter- and intra-observer agreements of CET and RCL/LUCL injuries on MRI were excellent. There were significant correlation between degrees of CET and RCL/LUCL injuries (correlation coefficient r = 0.667, p < 0.01) and between degree of RCL/LUCL injuries and visual analog 11-point pain box scale (VAS) scores (correlation coefficient r = 0.478, p = 0.033).ConclusionMRI showed excellent inter- and intra-observer reliabilities for the evaluation of lateral epicondylitis. In addition to common extensor tendinopathy, RCL/LUCL abnormality was the most common accompanying finding and degree of RCL/LUCL injuries positively correlated with degree of CET injuries. Furthermore, degree of RCL/LUCL injuries positively correlates with severity of pain.Level of evidenceLevel IV, Diagnostic study.

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“…5 Magnetic resonance imaging (MRI) has an excellent contrast resolution of soft tissue and have demonstrated acceptable levels of sensitivity, specificity, and accuracy in the diagnosis of lateral epicondylitis. 6 – 8 However, few studies has determined the inter-reliability and intra-reliability for lateral epicondylitis and relationship between MRI abnormalities of the CET and the patient's clinical symptom.…”

Section: Introductionmentioning

confidence: 99%

Magnetic Resonance Imaging of Patients With Chronic Lateral Epicondylitis

Zhang²,

Yu³

et al. 2016

Medicine

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The aim of the study is to determine the inter-reliability and intra-observer reliability of magnetic resonance imaging (MRI) for lateral epicondylitis and investigate whether there is a potential relationship between MRI abnormalities of the common extensor tendon (CET) and its clinical symptom.The study group comprised 96 consecutive patients (46 men and 50 women) with a clinical diagnosis of chronic lateral epicondylitis, which were examined on 3.0 T MR. An MRI scoring system was used to grade the degree of tendinopahty. Three independent musculoskeletal radiologists, who were blinded to the patients’ clinical information, scored images separately. Clinical symptoms were assessed using the Patient-Rated Tennis Elbow Evaluation (PRTEE).Of all the patients, total 96 elbows had MRI-assessed tendinopathy, including 38 (39.6%) with grade 1, 31 (32.3%) with grade 2, and 27 (28.1%) with grade 3. Inter-observer reliability and intra-observer agreement for MRI interpretation of the grades of tendinopathy was good, and a positive correlation between the grades of tendinopathy and PRTEE was determined.MRI is a reliable tool in determining radiological severity of chronical lateral epicondylitis. The severity of MR signal changes positively correlate with the patient's clinical symptom.

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Tennis elbow

Cited by 13 publications

References 26 publications

MR Imaging of Patients with Lateral Epicondylitis of the Elbow: Is the Common Extensor Tendon an Isolated Lesion?

MR Imaging of Patients with Lateral Epicondylitis of the Elbow: Is the Common Extensor Tendon an Isolated Lesion?

Magnetic resonance imaging of patients with lateral epicondylitis: Relationship between pain and severity of imaging features in elbow joints

Magnetic Resonance Imaging of Patients With Chronic Lateral Epicondylitis

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