Diagnostic Value of Ultrasonography for Clinical Medial Epicondylitis

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Presentation transcript:

Diagnostic Value of Ultrasonography for Clinical Medial Epicondylitis Gi-Young Park, MD, PhD, Sung-Moon Lee, MD, Michael Y. Lee, MD, MHA Archives of Physical Medicine and Rehabilitation Volume 89, Issue 4, Pages 738-742 (April 2008) DOI: 10.1016/j.apmr.2007.09.048 Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 A longitudinal ultrasonographic image of the common flexor tendon of the left elbow in a 56-year-old woman with medial epicondylitis. The tendon had a focal hypoechoic area (arrow) that was consistent with tendinosis. Archives of Physical Medicine and Rehabilitation 2008 89, 738-742DOI: (10.1016/j.apmr.2007.09.048) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 A longitudinal ultrasonographic image of the common flexor tendon of the left elbow in a 49-year-old man with medial epicondylitis. The tendon was thickened and had a focal linear anechoic area (arrow) that was consistent with intrasubstance tear. Archives of Physical Medicine and Rehabilitation 2008 89, 738-742DOI: (10.1016/j.apmr.2007.09.048) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Ultrasonographic images of the common flexor tendon of the left elbow in a 52-year-old woman with medial epicondylitis. (A) Longitudinal grayscale and (B) transverse color Doppler images. The tendon had a focal anechoic area (white arrow) that was consistent with a partial-thickness tear, with increased vascularity, cortical irregularity (black arrow), and spur formation (arrowhead). Archives of Physical Medicine and Rehabilitation 2008 89, 738-742DOI: (10.1016/j.apmr.2007.09.048) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 A transverse grayscale image of the common flexor tendon of the left elbow in a 53-year-old woman with medial epicondylitis. The tendon had hyperechoic tiny punctuated calcifications (arrows). Archives of Physical Medicine and Rehabilitation 2008 89, 738-742DOI: (10.1016/j.apmr.2007.09.048) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions