Reliability of sonographic assessment of tendinopathy in tennis elbow

Poltawski, Leon; Ali, Syed Imran; Jayaram, Vijay; Watson, Tim

doi:10.1007/s00256-011-1132-4

Cited by 58 publications

(63 citation statements)

References 35 publications

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“…Other studies have shown a moderate level of inter-rater reliability when measuring ECET thickness with an ICC ranged from 0.45 to 0.65 21 or an ICC of 0.46 (95% IC= 0.16 to 0.68) 22 .…”

Section: Elbow Common Extensors Tendon Reliabilitymentioning

confidence: 99%

Ultrasound measures of tendon thickness: Intra-rater, Inter-rater and Inter-machine reliability

Me¹,

Jj²,

Ríos-Díaz³

et al. 2017

MLTJ

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SummaryBackground: Ultrasound imaging is often used by physiotherapists and other healthcare professionals but the reliability of image acquisition with different ultrasound machines is unknown. The objective was to compare the intra-rater, inter-rater and intermachine reliability of thickness measurements of the plantar fascia (PF), Achilles tendon (AT), patellar tendon (PT) and elbow common extensor tendon (ECET) with musculoskeletal ultrasound imaging (MSUS). KEY WORDS: quantitative ultrasound, reliability, tendinopathy, ultrasound imaging.

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“…Other studies have shown a moderate level of inter-rater reliability when measuring ECET thickness with an ICC ranged from 0.45 to 0.65 21 or an ICC of 0.46 (95% IC= 0.16 to 0.68) 22 .…”

Section: Elbow Common Extensors Tendon Reliabilitymentioning

confidence: 99%

Ultrasound measures of tendon thickness: Intra-rater, Inter-rater and Inter-machine reliability

Me¹,

Jj²,

Ríos-Díaz³

et al. 2017

MLTJ

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“…Poltawski et al showed that an inexperienced clinician could conduct a specific assessment using ultrasound (tennis elbow) with 6 endpoints after a short focused course with 12 hours of training in general and musculoskeletal ultrasound and 20 hours of actual hands-on experience, 6 of them supervised by an experienced radiologist [6]. Test-retest (intra-rater) reliability were best for calcification ( ICC 0,86 ) and worse for tendon thickening (ICC0,70 ).…”

Section: Discussionmentioning

confidence: 99%

Learning musculoskeletal ultrasound

Jensen¹,

Johannsen²

2017

Phys Ther Rehabil

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Aim: To evaluate if an acceptable diagnostic level of musculoskeletal ultrasonography(US) can be achieved by a US-novice when taught by an expert during a 4 month rotation in an outpatient clinic. Methods: All patients referred to an out-patient clinic with heel pain during one month (July 2013) were offered participation. No declined and 17 were included. The exam included 4 US images of both feet: a cross sectional scan of the thickest part of the Achilles tendon,a longitudinal scan of the plantar fascia anda cross sectional of the heel fat pad with and without pressure. These 8 images were repeated after a few minutes resulting in 8 pairs of images. After 2 months all the images were reviewed randomly in a blinded manner and measurements were performed.Hereby two different measurements on two different images were performed. The intra-tester reliability was compared by Intra-class Correlation Coefficient (ICC) and typical error (TE). Results: The US novice trainee achieved an acceptable good ICC (0.64 to 0.90)with agreements (TE 7.1-17.5%), albeit lower than the experienced doctorwith substantial ICC (0.90-0.97) and TE (3.4-6.7%). Conclusion: A 4 month rotation in an outpatient clinic with daily use of musculoskeletal ultrasound can lead to acceptable ultrasonographic skills in a novice with no prior ultrasonography experience.

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“…The diagnosis was based on a history of lateral elbow pain exacerbated by gripping activities, and tenderness at the lateral epicondyle coupled with lateral elbow pain on at least one of the following: resisted middle finger extension, resisted wrist extension or the chair-lift test 4,25 . This was supplemented by sonographic assessment of the common extensor tendon, conducted by the physiotherapist who had been trained for the purpose 26 . Tendinopathy was confirmed by the presence of thickening, hypoechoic areas, fibrillar disruption or calcification in the tendon 27,28 .…”

Section: Methodsmentioning

confidence: 99%

Measuring clinically important change with the Patient-rated Tennis Elbow Evaluation

Poltawski

Watson

2011

Hand Therapy

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Reliability of sonographic assessment of tendinopathy in tennis elbow

Abstract: The sonographic scoring system used in this study may be used reliably to quantify tendon abnormalities and change over time. A relatively inexperienced imager can conduct the assessment and use the rating scales reliably.

Cited by 58 publications

References 35 publications

Ultrasound measures of tendon thickness: Intra-rater, Inter-rater and Inter-machine reliability

Ultrasound measures of tendon thickness: Intra-rater, Inter-rater and Inter-machine reliability

Learning musculoskeletal ultrasound

Measuring clinically important change with the Patient-rated Tennis Elbow Evaluation

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