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Journal of the Korean Society for Surgery of the Hand 2006;11(3):163-167.
Published online September 1, 2006.
Radiologic changes of lateral epicondylitis (tennis elbow)
Yong-Hoon Kim, Seok-Whan Song, Il-Jung Park, Man-Kue Bae, Eun-Sang Lee, Jong-Seoung Yoon, Seung-Koo Rhee
상완골 외상과염의 방사선상 변화
김용훈, 송석환, 박일중, 배만규, 이은상, 윤종성, 이승구
Purpose: To evaluate radiologic change and clinical consequences in lateral epicondylitis. Materials and Methods: Radiologic results of 77 patients between the year of 1995 to 2005 were studied; The X-ray of the 77 patients were analyzed for any radiologic changes, and in turn these changes were examined for any clinical correlation in symptom duration, operability, and No. of depomedrol injection. Results: Radiologically, lateral epicondylitis can be clearly categorized into 5 types. The proportion of type I normal, type II sclerosis, type III onion-peel, type IV sunburst, and type V speckled were 44/77(57%), 12/77(15%), 8/77(10%), 7/77(9%), and 6/77(7%) respectively. Frequency of specific calcification - type III, IV and V - was average 27%. The duration of whole treatment was 5.1, 36, 7.8, 21, and 16.8 months for type I, II, III, IV, and V, respectively. Most of them were healed completely, but not in 2/44 for type I, 4/12 for type II, 0/8 for type III, 2/7 for type IV, and 2/6 for type V. And so, those cases were treated surgically and found the fibrotic degeneration of ECRB. Conclusion: Chronicity of disease and operability are not related with radiologic changes. But, No. of depomedrol injection is related with frequency of radiologic bony changes.
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