Abstract Archives of the RSNA, 2012
LL-MKE4433
Lateral Epicondylitis: Anatomy, Pathology, and Review of Ultrasound-guided Percutaneous Treatments
Education Exhibits
Presented in 2012
Magna Cum Laude
Selected for RadioGraphics
Mary Margaret Chiavaras MD, PhD, Presenter: Nothing to Disclose
Jon A. Jacobson MD, Abstract Co-Author: Consultant, BioClinica, Inc
Royalties, Reed Elsevier
Equipment support, Terumo Corporation
Mark Cresswell MBBCh, Abstract Co-Author: Nothing to Disclose
The purpose of this exhibit is:
To provide a comprehensive review of anatomy and pathology of the lateral elbow
To demonstrate the ultrasound scanning technique
To illustrate the various ultrasound-guided percutaneous treatments
1. Anatomy of the lateral elbow
2. Ultrasound evaluation: Technique, pearls, and pitfalls
3. Common pathologies: Lateral epicondylitis and potential mimics
- Ultrasound appearance and MRI correlation
4. Ultrasound-guided percutaneous treatments
- Current treatment options: Steroid injection, hyperosmolar dextrose injection,
tendon fenestration (dry needling or tenotomy), whole blood injection,
and platelet-rich plasma (PRP) injection
- Technique: step-by-step illustrated guide
- Pros and cons
- Controversy and evidence
5. Summary
The major teaching points are:
Lateral elbow anatomy is complex and a clear understanding is important to adequately characterize disease processes and to effectively guide management
Ultrasound is a valuable tool in the evaluation and management of lateral elbow pain
Ultrasound-guided percutaneous treatments have been illustrasted and can lead to symptomatic relief in the appropriate patient population
Chiavaras, M,
Jacobson, J,
Cresswell, M,
Lateral Epicondylitis: Anatomy, Pathology, and Review of Ultrasound-guided Percutaneous Treatments. Radiological Society of North America 2012 Scientific Assembly and Annual Meeting, November 25 - November 30, 2012 ,Chicago IL.
http://archive.rsna.org/2012/12026792.html