Elbow Disease Clinical Trial
Official title:
Role of Magnetic Resonance Imaging in Evaluation of Non-traumatic Causes of Painful Elbow Joint
• Elbow pain is any type of pain that comes from structures in the elbow joint and/or in structures adjacent to the elbow joint. elbow is a complex joint; it allows to both extension and flexion, as well as rotation hand and forearm. Since most movements are a combination of these actions, Elbow pain is often caused by overuse, but in general, elbow joint is much less prone to wear-and-tear damage than are many other joints. The causes of elbow pain are numerous. Most elbow pain is due to overuse or strain on the elbow joint components, but some causes are due to trauma, infection, and/or autoimmune processes and neoplasm. Risk factors for elbow pain are numerous and range from engaging in repetitive activities and participation in sports to those associated with infection, trauma, and rheumatoid arthritis. Other adjacent structures associated with elbow pain include the shoulder, upper arm, forearm, and wrist and hand joints.
- Health-care professionals diagnose elbow pain mainly by a patient's history and
physical exam. Radiologic techniques such as X-ray ,US,CT and MRI are often used to
delineate the elbow structures involved. Conventional radiography remains an essential
initial test in the evaluation of the elbow and its disorders. One must be familiar
with the pertinent anatomy, early developmental changes, and the biomechanics of this
complex joint to appreciate subtle injury patterns and articular disorders. In some
cases, radiographic imaging will point to the need for further evaluation with CT, MR,
or sonographic imaging High-resolution ultrasound is well suited for evaluating the
elbow. Ultrasound is growing in popularity and fast becoming another modality that the
radiologist can use to help diagnose elbow pathology. ultrasound offers focused and
real-time high-resolution imaging of tendons, ligaments, and nerve structures. Its
advantages include the use of safe nonionizing radiation, accessibility, and cost
effectiveness. Ultrasound is also useful in therapeutic guided injections for its
multiplanar capability and clear visualization of major vessels and nerves.
- MR imaging provides clinically useful information in assessing the elbow joint.
Superior depiction of muscles, ligaments, and tendons as well as the ability to
visualize nerves, bone marrow, and hyaline cartilage directly are advantages of MR
imaging relative to conventional imaging techniques. These features of MR imaging may
help to establish the cause of elbow pain by accurately depicting the presence and
extent of bone and soft-tissue pathology. Ongoing improvements in surface coil design
and newer pulse sequences have resulted in higher quality MR images of the elbow that
can be obtained more rapidly. This is especially important in MR as the imaging tool
that shows a highest soft tissue resolution among other imaging techniques. Recent
clinical experience has shown the utility of MR imaging in detecting and characterizing
disorders of the elbow in a a noninvasive fashion.
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| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT06068907 -
Pain Pressure Threshold in Elbow Pain
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| Completed |
NCT03727516 -
Italian Version of the Oxford Elbow Score Score
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