[Ultrasound Diagnostics for Myotendinous Injuries and Insertion Tendinopathies of the Elbow Joint]

Overview

Journal Radiologe

Specialty Radiology

Date 2018 Sep 16

PMID 30218343

Authors

J Doll

C Fischer

Affiliations

Soon will be listed here.

Abstract

Introduction: Acute capsular injuries of the elbow joint and its ligaments predominantly occur after joint dislocation or subluxation. Together with lateral and medial epicondylitis they represent a common injury pattern in radiology, orthopedic and trauma surgery.

Clinical Issue: Because of the complexity of the elbow joint, knowledge of the elbow dislocation and injury pattern as well as the anatomy is essential in order to adequately estimate the injury severity and joint stability. This is crucial for the correct diagnosis and choice of treatment. Systematic physical examination and careful radiographic evaluation are components of an adequate management of acute soft tissue elbow injuries.

Diagnostic Work-up: The cost-effective ultrasound has emerged as a useful imaging modality for the diagnosis of acute joint and soft tissue pathologies especially in the acute phase after injury. Ultrasound as a diagnostic tool enables visualization of motion sequences during dynamic examination and therefore a better understanding of pathologies. Ultrasound examinations of the most common injuries of the elbow joint are presented in this overview.

References

ODriscoll S, Morrey B, Korinek S, An K . Elbow subluxation and dislocation. A spectrum of instability. Clin Orthop Relat Res. 1992; (280):186-97. View

Stoneback J, Owens B, Sykes J, Athwal G, Pointer L, Wolf J . Incidence of elbow dislocations in the United States population. J Bone Joint Surg Am. 2012; 94(3):240-5. DOI: 10.2106/JBJS.J.01663. View

Hobgood E, Khan S, Field L . Acute dislocations of the adult elbow. Hand Clin. 2008; 24(1):1-7. DOI: 10.1016/j.hcl.2007.11.012. View

Ciccotti M, Schwartz M, Ciccotti M . Diagnosis and treatment of medial epicondylitis of the elbow. Clin Sports Med. 2004; 23(4):693-705, xi. DOI: 10.1016/j.csm.2004.04.011. View

Ruiz Santiago F, Guzman Alvarez L, Del Mar Castellano Garcia M . Ultrasound pathology of the elbow: a pictorial essay. Ultraschall Med. 2012; 33(7):E344-E349. DOI: 10.1055/s-0032-1325388. View

ODriscoll S, Jupiter J, King G, Hotchkiss R, Morrey B . The unstable elbow. Instr Course Lect. 2001; 50:89-102. View

Safran M, Ahmad C, ElAttrache N . Ulnar collateral ligament of the elbow. Arthroscopy. 2005; 21(11):1381-95. DOI: 10.1016/j.arthro.2005.07.001. View

Mittlmeier T, Beck M . [Dislocation of the adult elbow joint]. Unfallchirurg. 2009; 112(5):487-505. DOI: 10.1007/s00113-009-1615-0. View

Mehlhoff T, Noble P, Bennett J, Tullos H . Simple dislocation of the elbow in the adult. Results after closed treatment. J Bone Joint Surg Am. 1988; 70(2):244-9. View

10.

Finlay K, Ferri M, Friedman L . Ultrasound of the elbow. Skeletal Radiol. 2004; 33(2):63-79. DOI: 10.1007/s00256-003-0680-7. View

11.

Newman J, Adler R, Bude R, Rubin J . Detection of soft-tissue hyperemia: value of power Doppler sonography. AJR Am J Roentgenol. 1994; 163(2):385-9. DOI: 10.2214/ajr.163.2.8037037. View

12.

Miller T, Shapiro M, Schultz E, Kalish P . Comparison of sonography and MRI for diagnosing epicondylitis. J Clin Ultrasound. 2002; 30(4):193-202. DOI: 10.1002/jcu.10063. View