Lateral Epicondylitis of the Elbow: US Findings

Levin, Dayna; Nazarian, Levon N.; Miller, Theodore T.; O’Kane, Patrick; Feld, Rick I.; Parker, Laurence; McShane, John M.

doi:10.1148/radiol.2371040784

Cited by 212 publications

(165 citation statements)

References 10 publications

Supporting

Mentioning

149

Contrasting

Unclassified

Order By: Relevance

“…Pathologies such as entrapment of the radiocapitellar joint, intra-articular body, and posterior rotator disability that were included in the differential diagnosis of LET were ruled out. Clinical diagnosis of LET was regarded as the reference standard (11). Tenderness on the lateral epicondyle, pain aggravation by extension, and radial deviation of the wrist were considered positive for LET.…”

Section: Methodsmentioning

confidence: 99%

Common extensor tendon thickness measurements at the radiocapitellar region in diagnosis of lateral elbow tendinopathy

Toprak¹,

Başkan²,

Üstüner³

et al. 2012

Diagn Interv Radiol

View full text Add to dashboard Cite

Section: Methodsmentioning

confidence: 99%

Common extensor tendon thickness measurements at the radiocapitellar region in diagnosis of lateral elbow tendinopathy

Toprak¹,

Başkan²,

Üstüner³

et al. 2012

Diagn Interv Radiol

View full text Add to dashboard Cite

“…Since 1990, when the first sonographic changes were described that could be linked to lateral epicondylopathy, 7 several studies have been performed in symptomatic populations to assess, among other aspects, structural changes to the CET and their corresponding sonographic manifestations, although with widely differing results. 3,[8][9][10] We are of the opinion that in most cases, lateral epicondylopathy is a progressive clinical process resulting in progressive and sequential sonographic changes. We also believe that some of the sonographic alterations thought to be associated with the disease could appear in those who have never had it.…”

mentioning

confidence: 99%

Sonographic Findings for the Common Extensor Tendon of the Elbow in the General Population

Jaén-Díaz¹,

Cerezo-López²,

Castro

et al. 2010

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

Objective. To describe structural characteristics and sonographic alterations of the common extensor tendon (CET). Methods. In 240 patients, we determined the body mass index; sonographic CET thickness, morphologic characteristics, and alterations; and color Doppler measurements of the epicondylar artery width and peak systolic velocity. Age, sex, epicondylalgia history, activities (work, sports, and hobbies), and dominant and nondominant elbows were noted. . Thickness correlated weakly with age (dominant, r = 0.284; nondominant, r = 0.215) and moderately with weight (dominant, r = 0.492; nondominant, r = 0.502). The mean epicondylar artery diameter was 1.35 mm (SD, 0.96 mm); mean peak velocity, 13.01 cm/s (SD, 4.90 cm/s). Morphologic abnormalities were found in 79.5% of patients with a history of epicondylalgia; 7.7% with no history had abnormalities; and 55.9% with abnormalities but no history were older than 55 years. Bone spurs (49.2% versus 16.4% [P < .001]), tendon calcifications (21.5% versus 3.9% [P < .001]), and bone cortex abnormalities (12.3% versus 1.7% [P < .001]) were found more often in non-normal elbows; 79.4% of bone spurs in normal elbows occurred in patients older than 55 years. Conclusions. Mild sonographic alterations in the CET and bone spurs should be considered with caution when assessing epicondylar pain, especially in patients older than 55 years and those with a history of epicondylalgia.

show abstract

“…The most frequent pathology of the common extensor tendon is epicondylitis [3,5,6], which is caused by continuous stress, minor traumas and aging [1,2] and it 'is' characterized by loss of the normal tendon structure showing myxoid and hyaline degeneration, angiofibroblastic proliferation, fibrosis and calcifications. These changes cause the tendon to lose its elasticity and become easily damaged [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…They mainly affect the common tendon of the extensor muscles [1,2] rather than that of the flexor muscles and the distal tendon of the biceps and triceps tendon. These lesions generally occur due to a degenerative disease (epicondylitis) [3,4] and steroid injections [5]. Ruptures of the tendons can be classified as full or incomplete, acute or chronic and traumatic or spontaneous.…”

Section: Introductionmentioning

confidence: 99%

Acute partial rupture of the common extensor tendon

Kachrimanis

Papadopoulou

2010

Journal of Ultrasound

View full text Add to dashboard Cite

KEYWORDSElbow; Common extensor tendon; Ultrasonography.Abstract Rupture of the common extensor tendon is the most common acute tendon injury of the elbow. The authors describe a case of a patient with a clinical history of tendinopathy caused by functional overload of the common extensor tendon, treated also with infiltrations of steroids, and subsequent partial rupture of the tendon during sport activity. The diagnosis was made clinically and at ultrasound (US) examination; US follow-up after some time showed the healing of the lesion. This case confirms that injections of steroids may be a contributory cause of tendon rupture, and emphasizes the sensitivity and specificity of US in the study of pathologies of the elbow tendons.Sommario La rottura del tendine comune degli estensori è la lesione acuta più frequente dei tendini del gomito.Viene presentato il caso di un paziente con pregressa tendinopatia da sovraccarico funzionale del tendine comune degli estensori, trattata anche con infiltrazione di steroidi, e successiva rottura parziale del tendine, durante l'attività sportiva. La diagnosi è stata clinica ed ecografica e il controllo ecografico a distanza di tempo ha evidenziato la guarigione della lesione. Il caso in esame conferma come le iniezioni di steroidi possano rappresentare una concausa delle rotture tendinee e sottolinea la sensibilità e la specificità dell'ecografia nello studio della patologia tendinea del gomito. ª

show abstract

Lateral Epicondylitis of the Elbow: US Findings

Cited by 212 publications

References 10 publications

Common extensor tendon thickness measurements at the radiocapitellar region in diagnosis of lateral elbow tendinopathy

Common extensor tendon thickness measurements at the radiocapitellar region in diagnosis of lateral elbow tendinopathy

Sonographic Findings for the Common Extensor Tendon of the Elbow in the General Population

Acute partial rupture of the common extensor tendon

Contact Info

Product

Resources

About