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Ultrasonographic Findings of Epicondylitis |
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Seo Hyun Kwak, M.D. In Sup Song, M.D., Jong Beum Lee, M.D.,Hwa Yeon Lee, M.D., Seung Min Yoo, M.D., Seong Jun Yang, M.D.,Kyung Mook Seo, M.D.* |
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Department of Radiology, Yong San Hospital, College of Medicine, Chung-Ang University*Department of Rehabilitation Medicine, College of Medicine, Chung-Ang University |
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PURPOSE : To evaluate the usefulness of ultrasonographic findings of the common extensor and flexor tendon in evaluation
of patients with lateral and medial epicondylitis.
MATERIALS and METHODS : Thirty eight elbows from twenty four patients (mean age=45.2 years) were included.
Ultrasonographic examination was peformed to evaluate lateral or medial epicondylitis. Epicondylitis was divided
into five groups according to the severity of diseases: 1) normal, 2) tendinopathy, 3) tendinopathy with a
partial tear, partial tear and 4) complete tear. Change in the size of a tendon, bony change of the epicondyle, presence
or absence of calcification or echogenic foci in the common tendon and hypervascularity for each categories
were also assessed. In addition, these lesions were divided into the superficial and deep according to the
location of lesions.
RESULTS : According to the severity, there were 15 cases of normal, 13 tendinopathies, 8 tendinopathies with a partial
tear, 2 partial tears and 0 complete tear. Bony change was seen only in tendinopathy, tendinopathy with partial
tear and partial tear. Calcification or echogenic foci were only observed in cases with tendinopathy and
tendinopathy with partial tear. Hypervascularity was only seen in one case of tendinopathy.
CONCLUSION : With thorough understanding of ultrasonographic findings of epicondylitis, ultrasonographic examination
can be especially useful and effective in evaluating the severity and location of lesions. |
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Keyword : Bones, abnormalities Bones, US Humerus Tennis elbow |
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pdf파일 : 191-196 곽서현.pdf
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