[MRI or ultrasound-which imaging technique do we need?] / MRT oder Sonographie welche Bildgebung brauchen wir?
Orthopadie (Heidelb)
; 52(5): 349-358, 2023 May.
Article
em De
| MEDLINE
| ID: mdl-37039910
ABSTRACT
Diagnostic imaging of epicondylitis is primarily performed using widely available, radiation-free ultrasound. The dynamic examination allows a rapid point-of-care assessment. Typical imaging findings of epicondylitis include intratendinous hypoechogenic foci at the humeral origin, ossification at the enthesis, intratendinous calcifications, or (partial) rupture. In particular, Doppler sonography increases sensitivity by assessing possible neovascularization within the tendon. When sonographic findings are unclear or extensive, or when ultrasound machines or the required expertise in elbow examinations are not available, magnetic resonance imaging is indicated. Here, the use of proton density-weighted sequences is appropriate for assessing bone marrow and soft tissue edema and tendon tears, while ossifications are best delineated in T1weighted sequences. Projection radiography and computed tomography can be helpful for larger ossifications, although they are not part of the standard imaging protocol.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cotovelo de Tenista
Tipo de estudo:
Diagnostic_studies
/
Guideline
Limite:
Humans
Idioma:
De
Revista:
Orthopadie (Heidelb)
Ano de publicação:
2023
Tipo de documento:
Article