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      3D isotropic spine echo MR imaging of elbow: How it helps surgical decisions

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Elbow derangements are common. Clinical examination is supplemented by magnetic resonance imaging (MRI) for optimal diagnostic assessment of such disorders. 3-dimensional (3D) imaging is feasible on newer MR scanners in acceptable acquisition times. Isotropic high-resolution 3D MRI affords multiplanar reconstructions and aids in diagnostic evaluation of elbow disorders and pre-/post-surgical assessments. The article details technical considerations of 3D elbow MRI and discusses its role in diagnostic evaluation of elbow disorders with relevant comparisons to 2D MRI and emphasizes as to how such advanced imaging assists in pre- and post-surgical assessments of tendon and ligament derangements.

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          Tennis elbow. The surgical treatment of lateral epicondylitis.

          R Nirschl, Frank Pettrone (1979)
          Of the 1,213 clinical cases of lateral tennis elbow seen during the time period from December 19, 1971, to October 31, 1977, eighty-eight elbows in eighty-two patients had operative treatment. The lesion that was consistently identified at surgery was immature fibroblastic and vascular infiltration of the origin of the extensor carpi radialis brevis. A specific surgical technique was employed, including exposure of the extensor carpi radialis brevis, excision of the identified lesion, and repair. The results at follow-up were rated as excellent in sixty-six elbows, good in nine, fair in eleven, and failed in two. There was an over-all improvement rate of 97.7 per cent, and 85.2 per cent of the patients returned to full activity including rigorous sports.
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            Epicondylitis: pathogenesis, imaging, and treatment.

            J G Konin, Gregory Newman, D. Walz … (2009)
            Epicondylitis commonly affects the elbow medially or laterally, typically in the 4th or 5th decade of life and without predilection with regard to sex. Epicondylitis is an inflammatory process that may be more accurately described as tendinosis. In the lateral epicondylar region, this process affects the common extensor tendon; in the medial epicondylar region, the common flexor tendon is affected. The condition is widely believed to originate from repetitive overuse with resultant microtearing and progressive degeneration due to an immature reparative response. Advances in understanding of the anatomy and pathophysiology of epicondylitis have shaped current treatment practices. Conservative measures are undertaken initially, because symptoms in most patients improve with time and rest. Those who fail to respond to conservative therapy are considered for surgical treatment. When surgery is contemplated, magnetic resonance imaging or ultrasonography is useful for evaluating the extent of disease, detecting associated pathologic processes, excluding other primary sources of elbow pain, and planning the surgical approach. Familiarity with the normal anatomy, the pathophysiology of epicondylitis and its mimics, and diagnostic imaging techniques and findings allows more accurate diagnosis and helps establish an appropriate treatment plan.
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              Nerve entrapment syndromes of the elbow, forearm, and wrist.

              Theodore T Miller, William R Reinus (2010)
              Nerve entrapment syndromes usually have typical clinical presentations and findings on physical examination. Imaging can be used to evaluate a structural cause of the entrapment, such as a mass or enlarged muscle or to show secondary findings that confirm the diagnosis, such as nerve swelling or muscle edema or atrophy. This article will review entrapment syndromes of the elbow, forearm, and wrist.
              Article 0 comments Cited 31 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Avneesh Chhabra
                Journal
                Journal ID (nlm-ta): Eur J Radiol Open
                Journal ID (iso-abbrev): Eur J Radiol Open
                Title: European Journal of Radiology Open
                Publisher: Elsevier
                ISSN (Electronic): 2352-0477
                Publication date PMC-release: 04 March 2022
                Publication date Collection: 2022
                Publication date (Electronic): 04 March 2022
                Volume: 9
                Electronic Location Identifier: 100410
                Affiliations
                [a ]Department of Radiology at UT Southwestern Medical Center, USA
                [b ]Department of Orthopedic Surgery at UT Southwestern Medical Center, USA
                [c ]Adjunct faculty- Johns Hopkins University, USA & Walton center of neurosciences, UK
                Author notes
                [* ]Correspondence to: University of Texas at Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, USA. Avneesh.Chhabra@ 123456UTSouthwestern.edu
                Article
                Publisher Item ID: S2352-0477(22)00017-X Publisher ID: 100410
                DOI: 10.1016/j.ejro.2022.100410
                PMC ID: 8904410
                PubMed ID: 35281319
                SO-VID: 0696f805-d673-419a-9d6c-97c13182b575
                Copyright © © 2022 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 4 October 2021
                Date revision received : 1 February 2022
                Date accepted : 23 February 2022
                Categories
                Subject: Article

                Keywords: elbow,mri,3-dimensional,2-dimensional,surgery
                Data availability:
                Keywords: elbow, mri, 3-dimensional, 2-dimensional, surgery

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