Abstract
The elbow is a complex joint designed to withstand a wide range of dynamic exertional forces. There are multiple lesions causing pain at the elbow. The location and quality of elbow pain can generally localize the injury to one of the four anatomic regions: anterior, medial, lateral, or posterior elbow. The purpose of this study is to evaluate the role of ultrasound and magnetic resonance imaging in identifying elbow pain causes. Sixty patients (36male and 24 female) were enrolled in this study who are complaining from elbow pain and or any discomfort at elbow region. Tendinous elbow lesions (flexor and extensor tendon injury) were the most detectable lesions (50/172) (29.0%), followed by ligamentous lesions (medial and lateral collateral ligament injuries) (42/172) (24.41%), bony lesions (38/172) (22.09%), muscle lesions (24/172) (13.95%) and nerve lesions come last with (20/172) (11.76%). Ultrasound is a rapid cheap modality of choice regarding screening of elbow tendionous and ligamentous injury to lesser degree bony and neural lesions, MRI should be considered to assess precisely the extent of any injury in addition to the value of bone visualization & nerve evaluation. Magnetic resonance neurography is a potentially useful diagnostic tool in the evaluation of ulnar neuropathy at the elbow especially ulnar nerve.
Highlights
The musculoskeletal system can be subjected to acute injuries including contusions, strains, sprains, tearing of soft tissues, dislocations, fractures or any combination of these
The findings were divided according to tissue involved into tendinous lesions followed by ligamentous lesions, bony lesions, muscle lesions and lastly nerve lesions
In this study common extensor origin injury was more common than common flexor tendon with 66.6% to 32 % of total tendinosis lesions, this agreed with Shiri, R, et al [12] which was a random study on 4.783 population in which lateral epicondylitis represented 61% and medial epicondylitis represented 39% of these population
Summary
The musculoskeletal system can be subjected to acute injuries including contusions, strains, sprains, tearing of soft tissues, dislocations, fractures or any combination of these. Endocrine, and vascular can lead to alteration of musculoskeletal biomechanics, which can change one’s function. Tumors are other conditions that can lead to the musculo-skeletal morbidity of varied severity [1]. The elbow is a complex joint designed to withstand a wide range of dynamic exertional forces. The location and quality of elbow pain can generally localize the injury to one of the four anatomic regions: anterior, medial, lateral, or posterior [2]. Ultrasonography has several advantages over other imaging techniques, importantly because of dynamic examination in addition to its rapid, cheap and focused criteria [3]
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