Traction MRI of the Elbow: Age-Based Effects and Implications.

Abstract

We previously reported that traction magnetic resonance imaging (MRI) of the elbow without arthrography increases the width of the radiocapitellar joint (RC) and improves articular cartilage visibility. However, the effects of axial traction on different age groups have not yet been evaluated. We hypothesized that the effect of traction would decrease as the participants' age increased. We enrolled 30 healthy volunteers, ten each in their 20s, 30s, and 40s. The male-to-female ratio in each age group was 1:1. Elbow MRI was performed without traction and with 3, 5, and 7 kg axial traction. We evaluated joint space width (JW), humeral articular cartilage visibility, and intraprocedural pain/discomfort. We measured JW and cartilage visibility at the RC and the lateral and medial thirds of the ulnohumeral joint. The older age groups exhibited narrower JWs without traction. Axial traction increased the JW and improved the visibility of the RC in all age groups. No significant differences were observed in the ulnohumeral joint's lateral or medial thirds, but pain and discomfort increased with heavier traction weights. For participants in their 20s and 30s, axial traction of 3 kg seemed appropriate, while 7 kg traction was considered for those in their 40s.