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Ultrasound of Lateral Epicondylitis
Franck Lapegue1,2,3, Aymeric André2,4, François Lafourcade1
1Service d'imagerie médicale, CHU de Toulouse-Purpan, Bâtiment Pierre Paul Riquet, Place du Docteur Baylac, Toulouse, France.
Seminars in Musculoskeletal Radiology
|November 19, 2024
Summary
Ultrasound (US) confirms lateral epicondylitis diagnosis, aiding differential diagnosis and treatment guidance. This cost-effective imaging technique visualizes tendon pathology and guides interventions for elbow pain.
Area of Science:
- Orthopedics
- Radiology
- Musculoskeletal Imaging
Background:
- Lateral epicondylitis, commonly known as tennis elbow, is a frequent cause of elbow pain.
- Clinical diagnosis is often sufficient, but imaging can aid confirmation and differential diagnosis.
Purpose of the Study:
- To evaluate the utility of ultrasound (US) in diagnosing lateral epicondylitis.
- To assess US's role in differential diagnosis and guiding treatment for elbow conditions.
Main Methods:
- Ultrasound (US) examination of the lateral epicondyle muscles and proximal tendons.
- Assessment for signs of tendinosis, hyperemia, and intratendinous splits using US.
- Correlation with clinical findings and standard radiography.
Main Results:
- US can confirm lateral epicondylitis diagnosis by identifying hypoechoic tendinosis, hyperemia, and intratendinous splits.
- US is effective in differentiating lateral epicondylitis from other elbow pathologies.
- US-guided interventions, such as needling or injections, can target specific pathologic areas.
Conclusions:
- Ultrasound is a valuable, cost-effective tool for diagnosing lateral epicondylitis.
- US aids in differential diagnosis and provides guidance for targeted treatment of elbow conditions.
- Advanced imaging like CT arthrogram or MRI is reserved for complex cases or suspected bone/joint pathology.
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