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Role of Ultrasound and Magnetic Resonance Imaging in Evaluation of ‎Elbow Pain

Received: 23 November 2020     Accepted: 4 December 2020     Published: 11 December 2020
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Abstract

The elbow is a complex joint designed to withstand a wide range of dynamic exertional forces. There are multiple lesions causing pain at the elbow. The location and quality of elbow pain can generally localize the injury to one of the four anatomic regions: anterior, medial, lateral, or posterior elbow. The purpose of this study is to evaluate the role of ultrasound and ‎magnetic resonance imaging in identifying elbow pain causes. Sixty patients (36male and 24 female) were enrolled in this study who are complaining from elbow pain and or any discomfort at elbow region. ‎Tendinous elbow lesions (flexor and extensor tendon injury) were the most detectable lesions (50/172) (29.0%), followed by ligamentous lesions (medial and lateral collateral ligament injuries) (42/172) (24.41%), bony lesions (38/172) (22.09%), muscle lesions (24/172) (13.95%) and nerve lesions come last with (20/172) (11.76%). Ultrasound is a rapid cheap modality of choice regarding screening of elbow tendionous and ligamentous injury to lesser degree bony and neural lesions, MRI should be considered to assess precisely the extent of any ‎injury in addition to the value of bone visualization & nerve evaluation. Magnetic resonance neurography is a potentially useful diagnostic tool in the evaluation of ulnar neuropathy at the elbow especially ulnar nerve.

Published in International Journal of Medical Imaging (Volume 8, Issue 4)
DOI 10.11648/j.ijmi.20200804.18
Page(s) 114-125
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Ultrasound, Magnetic Resonance Imaging, Ulnar Nerve Neurography

References
[1] Sharma UK and Shrestha D. ‎Musculoskeletal ultrasound: Is it ‎underutilized? in Kathmandu University ‎Medical Journal, (2007).5 (4): 552-556.
[2] Physicians, Am Fam Physician. Evaluation of Elbow ‎Pain in Adults American Academy of ‎Family and , (2014) 89 (8): 649-657.
[3] Avcı M, Kozacı N, Beydilli, et al. The ‎comparison of bedside point-of-care ‎ultrasound and computed tomography in ‎elbow injuries. The American Journal of ‎Emergency Medicine, (2016). 34 (11), ‎‎2186–2190.
[4] A. Delle Sedie1, L. Riente1, A. ‎Iagnocco, et al, sound imaging for the ‎rheumatologist VI. Ultrasonography of the ‎elbow, sacroiliac, parasternal, and ‎temporomandibular joints, clinical and ‎experimental rheumatology, (2006) ‎(24), 617-621.
[5] Hauptfleisch J, English C & Murphy D. ‎Elbow Magnetic Resonance Imaging. ‎Topics in Magnetic Resonance Imaging‎‎ (2015), 24.(93–107)‎.
[6] Melloni P& Valls R. The use of MRI ‎scanning for investigating of tissue ‎abnormalities in the elbow. European ‎Journal of Radiology, (2005). (10), ‎‎303–313‎.
[7] Machado, Chhabra, A. , Thawait, et al .High resolution imaging of tunnels by magnetic resonance neurography. Skeletal Radiology, (2011); 15–31. Jacobson, Jon A. Fundamentals of Musculoskeletal Ultrasound,, chapter 4 Elbow Ultrasound, Jon A. Jacobson MD Third Edition, Elsevier. 2018; 127-167.
[8] Elisabetta Antonia Nocerino, Davide ‎Cucchi, Paolo Arrigoni, et al. Acute and ‎overuse elbow trauma: radio-orthopedics ‎overview, Acta Biomed. 2018 and 124–137.‎, 89.
[9] Stein, J. M., Cook, T. S., Simonson, & et ‎al. Normal and Variant Anatomy of the ‎Elbow on Magnetic Resonance Imaging. ‎Magnetic Resonance Imaging Clinics of ‎North America, (2011) and 609–619‎, (10).
[10] Hasan, N. M. A., Alam-Eldean, et al, ‎Stiff elbow in adult. MR imaging ‎findings. The Egyptian Journal of ‎Radiology and Nuclear Medicine, ‎‎2015. 46 (4), 1037–1048‎.
[11] ‎Shiri, Viikari-Juntura, Varonen, H., et ‎al. Prevalence and Determinants of Lateral ‎and Medial Epicondylitis: A Population ‎Study. American Journal of Epidemiology, ‎‎(2006) 164 (11), 1065–1074‎.
[12] Qi, L., Zhang, Y.-D., Yu, et al. Magnetic ‎Resonance Imaging of Patients With ‎Chronic Lateral Epicondylitis. Medicine, ‎(2016) 95 (5).‎
[13] Sarath Bethapudi, Robinson, ‎Engebretsen, et al. Elbow Injuries at the ‎London Summer Olympic Games: ‎Demographics and Pictorial Imaging ‎Review, American Journal of ‎Roentgenology (2013) and 201 (3), 535–549.
[14] Liang Qi. , Zhu, & Wang, R.-F. MR Imaging of Patients with Lateral Epicondylitis of the Elbow: Is the Common Extensor Tendon an Isolated Lesion? PLoS ONE, (2013); 8 (11).
[15] Gregory M. Ford, Genuario, ‎Kinkartz, et al. Return-to-Play Outcomes ‎in Professional Baseball Players After ‎Medial Ulnar Collateral Ligament Injuries. ‎The American Journal of Sports Medicine, ‎(2016). 44 (3), 723–728‎.
[16] Torquato Brandão, Aureliano, Amaro ‎Junior, Edson and Francisco Neto, et ‎al. Ultrasonography and magnetic ‎resonance imaging of elbow ligaments: a ‎comparative study, Einstein. 2019, Vol. 17 ‎Issue 3, p1-6. 6p‎.
[17] Christiaan JA van Bergen, Kimberly IM ‎van den Ende, Bart ten Brinke, et al, ‎Osteochondritis dissecans of the ‎capitellum in adolescents, world journal of ‎orthopedics. 2016 7 (2): 102–108‎.
[18] Halai, M., Gupta, S., et al A. Primary ‎osseous tumors of the elbow: 60 years of ‎rregistry experience. Shoulder & Elbow, ‎‎(2015) . 7 (4), 272–281.‎
[19] Keen, N. N., Chin, C. T., Engstrom, J. ‎W., Saloner, D., & Steinbach, L. S. ‎Diagnosing ulnar neuropathy at the elbow ‎using magnetic resonance neurography. ‎Skeletal Radiology, (2011) and 41 (4), 401–‎‎407‎.
[20] Schwarz, D., Kele, H., Kronlage, M., ‎Godel, T., et al. Diagnostic Value of ‎Magnetic Resonance Neurography in ‎Cervical Radiculopathy. Investigative ‎Radiology, (2018). 53 (3), 158–166‎.
Cite This Article
  • APA Style

    Reham Samy Sheta, Rasha Lotfy Younis, Radwa Mostafa Elkhouly, Atef Hammad Teama. (2020). Role of Ultrasound and Magnetic Resonance Imaging in Evaluation of ‎Elbow Pain. International Journal of Medical Imaging, 8(4), 114-125. https://doi.org/10.11648/j.ijmi.20200804.18

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    ACS Style

    Reham Samy Sheta; Rasha Lotfy Younis; Radwa Mostafa Elkhouly; Atef Hammad Teama. Role of Ultrasound and Magnetic Resonance Imaging in Evaluation of ‎Elbow Pain. Int. J. Med. Imaging 2020, 8(4), 114-125. doi: 10.11648/j.ijmi.20200804.18

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    AMA Style

    Reham Samy Sheta, Rasha Lotfy Younis, Radwa Mostafa Elkhouly, Atef Hammad Teama. Role of Ultrasound and Magnetic Resonance Imaging in Evaluation of ‎Elbow Pain. Int J Med Imaging. 2020;8(4):114-125. doi: 10.11648/j.ijmi.20200804.18

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  • @article{10.11648/j.ijmi.20200804.18,
      author = {Reham Samy Sheta and Rasha Lotfy Younis and Radwa Mostafa Elkhouly and Atef Hammad Teama},
      title = {Role of Ultrasound and Magnetic Resonance Imaging in Evaluation of ‎Elbow Pain},
      journal = {International Journal of Medical Imaging},
      volume = {8},
      number = {4},
      pages = {114-125},
      doi = {10.11648/j.ijmi.20200804.18},
      url = {https://doi.org/10.11648/j.ijmi.20200804.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20200804.18},
      abstract = {The elbow is a complex joint designed to withstand a wide range of dynamic exertional forces. There are multiple lesions causing pain at the elbow. The location and quality of elbow pain can generally localize the injury to one of the four anatomic regions: anterior, medial, lateral, or posterior elbow. The purpose of this study is to evaluate the role of ultrasound and ‎magnetic resonance imaging in identifying elbow pain causes. Sixty patients (36male and 24 female) were enrolled in this study who are complaining from elbow pain and or any discomfort at elbow region. ‎Tendinous elbow lesions (flexor and extensor tendon injury) were the most detectable lesions (50/172) (29.0%), followed by ligamentous lesions (medial and lateral collateral ligament injuries) (42/172) (24.41%), bony lesions (38/172) (22.09%), muscle lesions (24/172) (13.95%) and nerve lesions come last with (20/172) (11.76%). Ultrasound is a rapid cheap modality of choice regarding screening of elbow tendionous and ligamentous injury to lesser degree bony and neural lesions, MRI should be considered to assess precisely the extent of any ‎injury in addition to the value of bone visualization & nerve evaluation. Magnetic resonance neurography is a potentially useful diagnostic tool in the evaluation of ulnar neuropathy at the elbow especially ulnar nerve.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Role of Ultrasound and Magnetic Resonance Imaging in Evaluation of ‎Elbow Pain
    AU  - Reham Samy Sheta
    AU  - Rasha Lotfy Younis
    AU  - Radwa Mostafa Elkhouly
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    DO  - 10.11648/j.ijmi.20200804.18
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
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    EP  - 125
    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.ijmi.20200804.18
    AB  - The elbow is a complex joint designed to withstand a wide range of dynamic exertional forces. There are multiple lesions causing pain at the elbow. The location and quality of elbow pain can generally localize the injury to one of the four anatomic regions: anterior, medial, lateral, or posterior elbow. The purpose of this study is to evaluate the role of ultrasound and ‎magnetic resonance imaging in identifying elbow pain causes. Sixty patients (36male and 24 female) were enrolled in this study who are complaining from elbow pain and or any discomfort at elbow region. ‎Tendinous elbow lesions (flexor and extensor tendon injury) were the most detectable lesions (50/172) (29.0%), followed by ligamentous lesions (medial and lateral collateral ligament injuries) (42/172) (24.41%), bony lesions (38/172) (22.09%), muscle lesions (24/172) (13.95%) and nerve lesions come last with (20/172) (11.76%). Ultrasound is a rapid cheap modality of choice regarding screening of elbow tendionous and ligamentous injury to lesser degree bony and neural lesions, MRI should be considered to assess precisely the extent of any ‎injury in addition to the value of bone visualization & nerve evaluation. Magnetic resonance neurography is a potentially useful diagnostic tool in the evaluation of ulnar neuropathy at the elbow especially ulnar nerve.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Department of Radiology, Faculty of Medicine, Tanta University, Tanta, Egypt

  • Department of Radiology, Faculty of Medicine, Tanta University, Tanta, Egypt

  • Department of Rheumatology, Physical Medicine & Rehabilitation, Faculty of Medicine, Tanta University, Tanta, Egypt

  • Department of Radiology, Faculty of Medicine, Tanta University, Tanta, Egypt

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