Prominent synovial plicae in radiocapitellar joints as a potential cause of lateral elbow pain: clinico-radiologic correlation

Lee, Hyun Il; Koh, Kyoung Hwan; Kim, Jong-Pil; Jaegal, Midum; Kim, Youngkyu; Park, Min Jong

doi:10.1016/j.jse.2018.04.024

Cited by 25 publications

(49 citation statements)

References 21 publications

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“…Lateral epicondylosis must be considered as the main differential diagnosis, given the similar presenting symptoms. Current treatment is arthroscopic plica resection or debridement, although the former has shown better results [39].…”

Section: Bursae and Plicaementioning

confidence: 99%

Magnetic resonance imaging of the elbow

Lombardi¹,

Ashir²,

Gorbachova³

et al. 2020

Pol J Radiol

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Elbow pain can cause disability, especially in athletes, and is a common clinical complaint for both the general practitioner and the orthopaedic surgeon. Magnetic resonance imaging (MRI) is an excellent tool for the evaluation of joint pathology due to its high sensitivity as a result of high contrast resolution for soft tissues. This article aims to describe the normal imaging anatomy and biomechanics of the elbow, the most commonly used MRI protocols and techniques, and common MRI findings related to tendinopathy, ligamentous and osteochondral injuries, and instability of the elbow.

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Section: Bursae and Plicaementioning

confidence: 99%

Magnetic resonance imaging of the elbow

Lombardi¹,

Ashir²,

Gorbachova³

et al. 2020

Pol J Radiol

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“…[89,90] Plica can be seen on MRI [ Figure 13] and correlate with arthroscopic findings. [91] Several authors have reported improvement of symptoms from arthroscopic excision. [88][89][90][91][92][93][94][95][96] It is important to remember that there is potential for iatrogenic injury to the lateral ulnar collateral ligament (LUCL) when excising synovial folds in the radiocapitellar compartment.…”

Section: Tennis Elbow (Lateral Epicondylitis)mentioning

confidence: 99%

Advances and future trends in elbow arthroscopy

Robinson¹

2020

JASSM

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Elbow arthroscopy has evolved since its inception and is now a commonly used technique in the diagnosis and treatment of elbow pathology. It has many indications, from the removal of intra-articular loose bodies to the management of elbow osteoarthritis and fractures. In this paper, we will discuss the full spectrum of elbow arthroscopy covering recent evidence, surgical techniques, advances, and future trends.

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“…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]. This structure can extend up to approximately one-third of the posterior aspect of the radial head [10,13].…”

Section: Anatomymentioning

confidence: 99%

“…A number of partly inexact descriptions of this entity have been provided in different anatomical studies. So far, they are all based on studies done on cadavers using different dissection methods with no consistent results, which means there is no consensus in the literature regarding basic aspects concerning the anatomic location, incidence, size, shape, thickness and symmetry of RHSP in the general population [12,13,[19][20][21]25].…”

Section: Anatomymentioning

confidence: 99%

“…RHSPS may be confused with lateral epicondylitis [2, 3•, 4-6, 9, 13, 24], but it must also be included in the differential diagnosis of other clinical entities that present with anterolateral and/or posterolateral elbow pain [1, 4-8, 10, 12, 24], snapping [1, 2, 3•, 5, 9-11, 13], catching [1, 3•, 4, 13], mobility restriction [3•, 4, 6, 13, 18, 29], pitching [29], clicking [4][5][6], locking/blockage [4,11], popping [11,13] and/or swelling [6]. RHSPS can be an isolated condition or it can be associated with other elbow abnormalities [9,17,31].…”

Section: Clinical Manifestationsmentioning

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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Prominent synovial plicae in radiocapitellar joints as a potential cause of lateral elbow pain: clinico-radiologic correlation

Cited by 25 publications

References 21 publications

Magnetic resonance imaging of the elbow

Magnetic resonance imaging of the elbow

Advances and future trends in elbow arthroscopy

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

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