Lateral Elbow Tendinopathy

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Lateral Elbow Tendinopathy

Authors, Editors, Case Information Author: Melinda Ng, MD Affiliation: Travis Sports Medicine Fellowship, David Grant Medical Center Co Author(s): Carlton J. Covey Senior Editor: Timothy Yu, MD Clinical Vignette: 48 yo M presents with 1 year history of lateral elbow pain that has persisted despite completing at least 6 months of physical therapy and home exercise program to include isometrics, eccentrics, modified activity and relative rest. Exam shows tenderness to palpation over the lateral common extensor tendon and pain with resisted wrist extension and middle finger extension. Type of Probe Used: 4-12 MHz linear array transducer Unlabeled Long Axis View of the Lateral Epicondyle with Color Doppler Long axis view of the common extensor tendon demonstrating increased neovascularity on color doppler Labeled Short Axis View of the Lateral Epicondyle Short axis view of the common extensor tendon showing enthesophytes and an area of hypoechogenicity, suggesting partial thickness tearing Unlabeled Short Axis View of the Lateral Epicondyle Short axis view of the common extensor tendon at the lateral epicondyle Labeled Long Axis View of the Lateral Epicondyle Long axis view of the common extensor tendon demonstrating heterogenous echogenicity and cortical irregularity with enthesopathic changes at the lateral epicondyle. Unlabeled Long Axis View of Lateral Epicondyle Long axis view of the common extensor tendon at the lateral epicondyle Interpretation Image Interpretation: The common extensor tendon demonstrated loss of fibrillar structure, heterogenous echogenicity, increased vascularity on Doppler, and enthesopathic changes at the lateral epicondyle, which is consistent with lateral elbow tendinopathy. The common extensor tendon origin is slightly hypoechoic, suggesting partial thickness tearing.
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

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Authors, Editors, Case Information

Unlabeled Long Axis View of the Lateral Epicondyle with Color Doppler

Labeled Short Axis View of the Lateral Epicondyle

Unlabeled Short Axis View of the Lateral Epicondyle

Labeled Long Axis View of the Lateral Epicondyle

Unlabeled Long Axis View of Lateral Epicondyle

Interpretation

UPCOMING EVENTS

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