Ultrasonographic Differentiation of Lateral Elbow Pain

Obuchowicz, Rafał; Bonczar, Michał

doi:10.1055/s-0035-1569455

Cited by 16 publications

(11 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Typical findings in patients with LE are focal areas with decreased echogenicity, thickening, and alteration of the typical fibrillar echostructure. Although the typical US findings of the disease described in the literature include increased vascularity observed in the power/color Doppler study, we almost never observed increased vascularity, except for patients with spondylarthritis, which is also indicated by other authors [13,16] the extensor carpi radialis brevis of CEO are affected [14,17].…”

Section: Us Findings In Lesupporting

confidence: 73%

See 1 more Smart Citation

The use of ultrasonography in the diagnosis and treatment of the lateral epicondylitis. Pictorial essay.

Konarski

Poboży

2022

Med Ultrason

View full text Add to dashboard Cite

Lateral epicondylitis (LE) is a common orthopedic problem. It is a not life-threatening condition and does not cause severe disability, but it is a burden in everyday life. This paper focuses on this area and provides guidance on how to effectively perform US examination of the lateral part of the elbow. We will provide recent evidence on LE with particular emphasis on the role of the ultrasound in diagnosis, treatment, and disease management and we will exemplify the pathology with representative cases.

show abstract

Section: Us Findings In Lesupporting

confidence: 73%

“…In longstanding disease, degenerative processes such as advanced partial or even complete tears may appear (fig 7), sometimes resulting in the formation of calcification (fig 8) [17].…”

Section: (Fig 6) Commonly Deep and Anterior Fibers Ofmentioning

confidence: 99%

The use of ultrasonography in the diagnosis and treatment of the lateral epicondylitis. Pictorial essay.

Konarski

Poboży

2022

Med Ultrason

View full text Add to dashboard Cite

show abstract

“…Firstly, the ECRB is the central tendon involved in a degenerative process of LET, and in this study, we only considered the exhaustive descriptions and analysis for degenerative ultrasound findings in the interior of this tendon. However, most of the existing publications describe the relation between LET and different anatomical aspects 40 or other adjacent tissues such as nerve, ligaments, muscles, bone structures or more tendons 41 and even other health conditions that are not unique to the alteration of the origin of the wrist extensors. Secondly, researchers have proposed that the tendon pathogenesis model is continuous, arguing that there is a 3-state transition from an initial stage characterized by reactive tendinopathy, a second disruptive stage, and finally, a third degenerative stage.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound findings in lateral elbow tendinopathy: A retrospective analysis of radiological tendon features

et al. 2022

View full text Add to dashboard Cite

Background: Lateral elbow tendinopathy (LET) is prevalent in the upper extremity, with various therapeutic options. Understanding the types and the relations between the radiological tendon features would help to develop more specific treatments. This study reviewed ultrasound exams of LET to investigate the types of degenerative findings and the relationships between them in one of the most prominent sports medicine clinics in Latin America. Methods: A retrospective study was performed. We evaluated 4335 ultrasonographic exams with LET from 2017 and 2018. Five principal degenerative ultrasound criteria with subtypes were selected: hypoechogenicity, neovascularity, calcification, enthesopathy, and intrasubstance tear. A multiple linear regression model was conducted to explore the association between the findings, sex, and age. Results: Overall, 4324 ultrasound exams were analyzed; 2607 (60.29%) were males. Multiple degenerative tendon findings were found in adults (≥18 years) with LET. Hypoechogenicity (67.77%) and neovascularity (37.8%) were the most frequent. The mean length of a tendon tear in both sexes was 4.44 (± 2.81) millimeters. Mild hypoechogenicity (P < .001), and depth intrasubstance tear (P < .01) were statistically significant between them. Severe hypoechogenicity was associated with an increase in all tendon tear dimensions for length 1.37 ([95% Confidence interval (CI), 0.57, 2.17]; P < .001), for width 1.10 ([95% CI, 0.33, 1.87]; P < .01) and for depth 1.64 ([95% CI, 0.40, 2.88]; P < .01). Additional findings associated with an increase in the length dimension were 0.42 associated with focal neovascularity ([95% CI, 0.19, 0.65]; P < .001), and 0.71 associated with multiple neovascularity ([95% CI, 0.27, 1.15]; P < .01). Conclusions: Hypoechogenicity and neovascularity findings presented a positive association with the size of tendon tear in patients with LET. This study reaffirms the increased predominance of tendon tear during the 4th to 6th decades of life.

show abstract

“…4) [37]. During tendon healing, there may be intratendinous infiltration of inflammatory cells and neovascularization [38].…”

Section: Elbowmentioning

confidence: 99%

Back to the roots of rheumatology – Imaging of regional pain syndromes

Bruns

Möller

Martinoli

2020

Best Practice & Research Clinical Rheumatology

View full text Add to dashboard Cite

Ultrasonographic Differentiation of Lateral Elbow Pain

Cited by 16 publications

References 50 publications

The use of ultrasonography in the diagnosis and treatment of the lateral epicondylitis. Pictorial essay.

The use of ultrasonography in the diagnosis and treatment of the lateral epicondylitis. Pictorial essay.

Ultrasound findings in lateral elbow tendinopathy: A retrospective analysis of radiological tendon features

Back to the roots of rheumatology – Imaging of regional pain syndromes

Contact Info

Product

Resources

About