Ultrasonographic evaluation of the posterolateral radiohumeral plica in asymptomatic subjects and patients with osteoarthritis.

Çelikyay, Fatih; Inanir, Ahmet; Bilgic, Erkal; Özmen, Zafer

doi:10.11152/mu.2013.2066.172.usev

Cited by 8 publications

(7 citation statements)

References 17 publications

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“…OA affects mainly the radiohumeral joint, where US allows for the humeral and radial cartilage thickness measurement with a mean of 1.2 mm, showing significantly reduced values in OA [41]. Also, the posterolateral radiohumeral plica may be evaluated, showing that OA may result in plica reduction associated with morphological changes [41]. In addition, lateral synovial fringe impingement at the radiohumeral joint may be assessed [42,43].…”

Section: Clinical Applicationmentioning

confidence: 99%

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

et al. 2021

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The second part of the Guidelines and Recommendations for Musculoskeletal Ultrasound (MSUS), produced under the auspices of EFSUMB, following the same methodology as for Part 1, provides information and recommendations on the use of this imaging modality for joint pathology, pediatric applications, and musculoskeletal ultrasound-guided procedures. Clinical application, practical points, limitations, and artifacts are described and discussed for every joint or procedure. The document is intended to guide clinical users in their daily practice.

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Section: Clinical Applicationmentioning

confidence: 99%

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

et al. 2021

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“…6a ). 16 , 33 The ultrasound scan may also exclude other pathologies such as tendinopathy, loose bodies, impinging osteophytes and snapping triceps. Finally, the elbow arthroscopy allows for a direct visualization anteriorly and posteriorly as well as the dynamic evaluation of the plica for final confirmations ( Fig.…”

Section: Imagingmentioning

confidence: 99%

Synovial plica of the elbow and its clinical relevance

et al. 2020

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A synovial plica (fold) is normal anatomic finding, and occurs in 86–100% of cases; however, symptomatic plica is much less common (7.2–8.7% of all elbow arthroscopies). Synovial plica syndrome is a painful elbow condition related to symptomatic synovial plica. Synovial plica syndrome is diagnosed by clinical examination (lateral elbow pain) commonly accompanied by local tenderness, pain at terminal extension and/or painful snapping. Synovial plica syndrome may be mimicked by other elbow conditions, commonly tennis elbow, loose bodies, and degenerative arthritis. Magnetic resonance imaging or ultrasound scan may support diagnosis in correlation with clinical findings, but symptomatic plica may also be diagnosed as unexpected during elbow arthroscopy. The arthroscopic resection is effective and safe if conservative treatment fails. Cite this article: EFORT Open Rev 2020;5:549-557. DOI: 10.1302/2058-5241.5.200027

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“…From a structural point of view, RHSP are folds that project into the intermediate radiohumeral space contiguous with the capsule-ligament complex [20], found proximal to the edge of the annular ligament within the intra-articular space [12,15,19,20]. They are structurally distinct from the annular ligament since they are contiguous with the radio-humeral articular capsule and subtly mingle with the common extensor tendon forming an enthesis at the lateral epicondyle [12].…”

Section: Anatomymentioning

confidence: 99%

“…Ultrasound scans have demonstrated that RHSP in asymptomatic patients can be assessed in a reliable way; the advantage is that this is a non-invasive procedure that involves little or no risk for these patients [15,22,25]. In ultrasound images, the morphology of RHSP is described as a triangular structure surrounded by hypoechoic borders between the capitellum and the radial head and isoechoic with muscles shown as a consistent structure, distinct from other periarticular structures [15,25]. There is no correlation between the real size of RHSP and the mean size in ultrasound images according to Koh et al [25].…”

Section: Imaging Diagnosismentioning

confidence: 99%

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A Comprehensive Review of Radiohumeral Synovial Plicae for a Correct Clinical Interpretation in Intractable Lateral Epicondylitis

Liñan

Pérez

González³

et al. 2020

Curr Rev Musculoskelet Med

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Purpose of Review Radiohumeral synovial plicae (RHSP) have been studied by different authors in different ways; in spite of this, the evidence is poor and the results are controversial and inconclusive even when it comes to referring to this elbow structure. The aim of this article is to review the embryologic development, anatomy and histology, pathophysiologic features, clinical manifestations, physical examination, imaging findings, and treatment of radiohumeral synovial plicae, for their correct clinical interpretation in patients with intractable lateral epicondylitis. Recent Findings Radiohumeral synovial plicae syndrome (RHSPS) can cause intractable lateral epicondylitis and can be easily confused with other clinical conditions affecting the elbow. Many clinicians are not familiar with radiohumeral synovial plica syndrome since there are not many studies about it and previous reports do not seem to reach a consensus. Although its role in elbow injuries and epicondylitis is accepted and its surgical treatment is effective, there is no clear consensus about clinically relevant aspects. Summary RHSP are remnants of normal embryo development of the articular synovial membrane with different anatomical locations, size and shape. Traumatism or overuse can turn RHSP into symptomatic structures at any age and can be compressed between the radial and humeral heads during movement. This compression can cause pain and other symptoms such as snapping, catching, mobility restriction, pitching, clicking, locking, blockage, popping and swelling. Radiohumeral synovial plica syndrome (RHSPS) may be an isolated condition or it can be associated with other elbow abnormalities. The findings on physical examination and imaging diagnosis are multiple and variable. Nowadays, RHSPS are quite unknown and previous reports do not seem to agree, leading to misdiagnoses as epicondylitis and making this structure the main cause of some cases of "intractable lateral epicondylitis". The outcomes of surgical treatments are quite promising although more, higher quality research is needed. Taking this into account, this review is meant to be a starting point for new anatomical and clinical studies.

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Ultrasonographic evaluation of the posterolateral radiohumeral plica in asymptomatic subjects and patients with osteoarthritis.

Cited by 8 publications

References 17 publications

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

Synovial plica of the elbow and its clinical relevance

A Comprehensive Review of Radiohumeral Synovial Plicae for a Correct Clinical Interpretation in Intractable Lateral Epicondylitis

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