Diagnostic accuracy of power Doppler ultrasound in patients with chronic tennis elbow

@article{duToit2008DiagnosticAO,
  title={Diagnostic accuracy of power Doppler ultrasound in patients with chronic tennis elbow},
  author={C du Toit and Mark A. Stieler and Robert Saunders and Leanne M Bisset and Bill T Vicenzino},
  journal={British Journal of Sports Medicine},
  year={2008},
  volume={42},
  pages={872 - 876}
}
Objective: To determine the diagnostic accuracy of power Doppler and grey scale ultrasonography, assess the relationship between severity measures and neovascularity, and describe the intra-tendon distribution of neovascularity in chronic tennis elbow. Design: Between group cross sectional study. Setting: Sports medicine clinic and radiology centre. Participants: 32 affected elbows (median and range of duration: 10; 3–120 months) and 18 unaffected contralateral elbows in 25 patients (mean age… Expand
Ultrasonographic assessment of tendon thickness, Doppler activity and bony spurs of the elbow in patients with lateral epicondylitis and healthy subjects: a reliability and agreement study.
TLDR
Good to excellent reliability was obtained for all measurements and the ultrasonographic techniques evaluated in this trial can be recommended for use in both research and clinical practice. Expand
Ultrasonographic Characteristics of the Common Extensor Tendon of the Elbow in Asymptomatic Individuals: Thickness, Color Doppler Activity, and Bony Spurs
TLDR
The US characteristics and normal values of the common extensor tendon (CET) of the elbow were presented, with the CET found to be thicker in men and in the dominant elbow. Expand
Clinical Value of Ultrasonographic Assessment in Lateral Epicondylitis Versus Asymptomatic Healthy Controls
TLDR
Increased common extensor tendon thickness is part of the tendinopathic changes observed in patients with LE, however, this technique cannot be used as a stand-alone diagnostic tool but rather as a supplement to the overall assessment. Expand
Ultra sonographic findings for chronic lateral epicondylitis.
  • M. Obradov, P. Anderson
  • Medicine
  • JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie
  • 2012
TLDR
The combination of gray-scale and color Doppler changes is diagnostically superior to identify chronic lateral epicondylitis and signs which confirm the diagnosis are a convex boundary, an erosive cortex, internal calcifications, a tear, and neovascularity. Expand
Utility of sonographic measurement of the common tensor tendon in patients with lateral epicondylitis.
TLDR
The quantitative sonographic measurements of the common extensor tendon had an excellent diagnostic performance for lateral epicondylitis, as well as good or excellent interreader agreement. Expand
Relationship between ultrasound detected tendon abnormalities, and sensory and clinical characteristics in people with chronic lateral epicondylalgia
TLDR
Investigating the relationship between tendon structural changes determined by static ultrasound images (US) and sensory changes using quantitative sensory testing (QST), and clinical measures in lateral epicondylalgia found weakly correlated measures. Expand
Diagnostic Value of Musculoskeletal Ultrasound in Acute and Chronic Lateral Epicondylalgia
TLDR
Sonographic measures of hypoechogenicity and calcifications of the common extensor origin was moderately associated with acute LE and strongly associated with chronic LE and the association of these abnormal sonographic findings and the initial clinical diagnosis for LE were studied. Expand
Real-time sonoelastography of lateral epicondylitis: comparison of findings between patients and healthy volunteers.
TLDR
Real-time sonoelastography is valuable in the detection of the intratendinous and peritendinous alterations of lateral epicondylitis and facilitates differentiation between healthy and symptomatic extensor tendon origins with excellent sensitivity and excellent correlation with ultrasound findings. Expand
Diagnostic ultrasound imaging for lateral epicondylalgia: a case-control study.
TLDR
The validity of ultrasound imaging to confirm tendon pathology in clinically diagnosed LE requires further study with strong methodology, and the high prevalence of tendinopathic changes in pain-free controls challenges the specificity of the measure. Expand
Sonographic probe induced tenderness for lateral epicondylitis: an accurate technique to confirm the location of the lesion
TLDR
The technique of inducing tenderness at site of abnormal shadow on ultrasound within the extensor carpi radialis brevis tendon improves the accuracy of identifying the site of lesion, prevents the misinterpretation of anisotropy as pathological lesion and also can be useful to maximize the efficacy of interventions aimed in treating the lateral epicondylitis. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 81 REFERENCES
Colour and power Doppler sonography in symptomatic Achilles tendon disease.
TLDR
It is concluded that colour and/or power Doppler sonography are useful as an adjunct to grey-scale sonography in the examination of Achilles tendinosis, especially because the presence of blood flow is associated with stronger pain, discomfort and physical restriction. Expand
The Value of Power Doppler Ultrasonography in Achilles Tendinopathy
TLDR
Sixty-three percent of the symptomatic tendons were found to have neovessels at baseline, and neovascularization at baseline did not predict clinical outcome after conservative treatment, but at follow-up, there was a significant correlation. Expand
Achilles tendons: clinical relevance of neovascularization diagnosed with power Doppler US.
TLDR
Although neovascularization is a specific sign for pain, it does not indicate an unfavorable outcome and Conversely, tendon inhomogeneity seems to be associated with a unfavorable outcome. Expand
Lateral epicondylitis of the elbow: US findings.
TLDR
US of the common extensor tendon had high sensitivity but low specificity in the detection of symptomatic lateral epicondylitis and the relationship between symptoms and intratendinous calcification, tendon thickening, adjacent bone irregularity, focal hypoechoic regions, and diffuse heterogeneity was statistically significant. Expand
Tennis elbow: an ultrasonographic study in tennis players.
TLDR
Ultrasonographic examination gives a detailed image of the structures involved in the tennis elbow syndrome, confirms the diagnosis, and may be useful in monitoring treatment. Expand
Sonographic examination of lateral epicondylitis.
TLDR
Sonography of the common extensor origin can be used to confirm lateral epicondylitis in patients with lateral elbow pain and provide information about the severity of the disease. Expand
Neovascularization and Pain in Abnormal Patellar Tendons of Active Jumping Athletes
TLDR
It is indicated that the presence of neovascularization in abnormal patellar tendons is associated with greater tendon pain compared with abnormal tendons without neov vascularization in active jumping athletes. Expand
Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis.
TLDR
The interobserver reliability of severity of complaints and grip strength was excellent, whereas the pressure pain threshold showed unsatisfactory reliability, and the use of pain-free grip strength is recommended. Expand
Assessing Valid Change over Time in Patients with Lateral Epicondylitis at the Elbow
TLDR
Comparisons of maximum grip strength and pain-free grip strength to assess valid change over time in patients with lateral epicondylitis at the elbow show that PFG is the preferred measure. Expand
Vascularity and pain in the patellar tendon of adult jumping athletes: a 5 month longitudinal study
TLDR
Data suggest that the presence of blood vessels is more likely to be the source of pain than the blood flow in the tendons, whether or not they had detectable blood flow. Expand
...
1
2
3
4
5
...