The ultrasound elastography findings in lateral epicondylitis in comparison with healthy individuals

Authors : Bilge İpek TORUN, Serhan EREN, Mehtap BALABAN

Pages : 33-40

View : 41 | Download : 11

Publication Date : 2022-04-20

Article Type : Research Paper

Abstract :Objectives: To evaluate the ability of strain sonoelastography insert ignore into journalissuearticles values(SEL); in diagnosing lateral epicondylitis insert ignore into journalissuearticles values(LE); and to asses clinical and diagnostic efficacy of strain SEL in patients with clinically confirmed LE and in healthy volunteers. Methods: Strain SEL was performed on 110 patients with clinical symptoms of LE and on 56 healthy participants. The common extensor tendon insert ignore into journalissuearticles values(CET); was evaluated with gray-scale and color Doppler ultrasonography insert ignore into journalissuearticles values(CDUS);. The stiffness and the elasticity of the CET was divided into 2 main types and 2 subtypes as a spectrum ranging from hard for 1a to soft for 2b. Results: The thickness of the CET in patients with LE insert ignore into journalissuearticles values(6.3±1.06 mm); were remarkably thicker than in healthy participants insert ignore into journalissuearticles values(3.8±0.62 mm); insert ignore into journalissuearticles values(p<0.001);. There were negative significant correlations between the thickness of the CET and lower and mean strain ratios insert ignore into journalissuearticles values(SR); insert ignore into journalissuearticles values(rs= [–0.666], p<0.001 for lower SR and rs= [–0.358], p<0.001 for mean SR);. Thickness of the CET varied between the groups of elastographic patterns insert ignore into journalissuearticles values(p<0.001);. The SR of tendon in patients with LE insert ignore into journalissuearticles values(6.68±2.49 mm); were remarkably lower than in healthy participants insert ignore into journalissuearticles values(11.16±4.88 mm); insert ignore into journalissuearticles values(p<0.001);. The SR of tendon in patients with LE also varied significantly between the groups of elastographic patterns insert ignore into journalissuearticles values(p<0.001);. Conclusion: Strain SEL is a promising sonographic technique for musculoskeletal imaging to differentiate thickening and softening of CET in LE. SR and SEL pattern findings are compatible with gray scale ultrasound and CDUS findings.
Keywords : common extensor tendon, imaging, radiologic anatomy, tendon thickness

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