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Epicondylitis: pathogenesis, imaging, and treatment.

Daniel M Walz1, Joel S Newman, Gabrielle P Konin

  • 1Departments of Radiology and Orthopedic Surgery, New England Baptist Hospital, Boston, MA, USA. danwalz@hotmail.com

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|January 20, 2010
PubMed
Summary
This summary is machine-generated.

Epicondylitis, often called tennis elbow or golfer's elbow, involves elbow pain due to tendon degeneration. Understanding its causes and using imaging aids diagnosis and treatment planning.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Radiology

Background:

  • Epicondylitis affects the elbow's medial or lateral side, commonly in middle-aged adults without gender preference.
  • It's characterized by tendon degeneration (tendinosis) in the common extensor (lateral) or flexor (medial) tendons.
  • Repetitive overuse leading to microtearing and impaired healing is the suspected cause.

Purpose of the Study:

  • To review the anatomy and pathophysiology of epicondylitis.
  • To discuss current diagnostic and treatment strategies.
  • To highlight the role of advanced imaging in managing elbow pain.

Main Methods:

  • Literature review of epicondylitis, focusing on anatomy, pathophysiology, and treatment.
  • Analysis of diagnostic imaging techniques (MRI, ultrasonography) for epicondylitis.
  • Discussion of conservative and surgical treatment options.

Main Results:

  • Epicondylitis is linked to repetitive overuse and degenerative tendinopathy.
  • Conservative treatment is the initial approach, with surgery reserved for refractory cases.
  • Imaging modalities like MRI and ultrasound are crucial for accurate diagnosis and surgical planning.

Conclusions:

  • Accurate diagnosis of epicondylitis requires understanding normal anatomy, pathophysiology, and imaging findings.
  • Advanced imaging helps evaluate disease extent, identify coexisting conditions, and rule out other causes of elbow pain.
  • A thorough diagnostic approach ensures appropriate treatment planning for effective patient management.