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Titolo:
MR imaging in chronic epicondylitis humeri radialis at 1.0 T: Is Gd-DTPA administration useful?
Autore:
Herber, S; Kalden, P; Kreitner, KF; Riedel, C; Rompe, JD; Thelen, M;
Indirizzi:
Univ Mainz, Klin & Poliklin Radiol, D-55131 Mainz, Germany Univ Mainz Mainz Germany D-55131 Poliklin Radiol, D-55131 Mainz, Germany Univ Mainz, Orthopad Klin & Poliklin, D-6500 Mainz, Germany Univ Mainz Mainz Germany D-6500 d Klin & Poliklin, D-6500 Mainz, Germany
Titolo Testata:
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
fascicolo: 5, volume: 173, anno: 2001,
pagine: 454 - 459
SICI:
1438-9029(200105)173:5<454:MIICEH>2.0.ZU;2-4
Fonte:
ISI
Lingua:
GER
Soggetto:
LATERAL EPICONDYLITIS; TENNIS ELBOW; MEDIAL EPICONDYLITIS; INJURIES; THERAPY; ANKLE;
Keywords:
epicondylitis; tendopathy; MRI; gadolinium-DTPA; contrast enhancement;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Herber, S Univ Mainz, Klin & Poliklin Radiol, Langenbeckstr 1, D-55131 Mainz, Germany Univ Mainz Langenbeckstr 1 Mainz Germany D-55131 Mainz, Germany
Citazione:
S. Herber et al., "MR imaging in chronic epicondylitis humeri radialis at 1.0 T: Is Gd-DTPA administration useful?", ROFO-F RONT, 173(5), 2001, pp. 454-459

Abstract

Purpose: Evaluation of the diagnostic value and confidence of contrast-enhanced MR imaging in patients with lateral epicondylitis in comparison to clinical diagnosis. Material and Methods: 42 consecutive patients with clinically proven chronic lateral epicondylitis and 10 elbow joints of healthy controls have been examined on a 1.0 T MR-unit. Criteria for inclusion in theprospective study were: persistent pain and a failed conservative therapy. The MR protocol included STIR sequence, a native, T-2-weighted, fat-supressed TSE sequence, and a Flash-2-D sequence. Also, fat-supressed, T-1-weighted SE sequences before and after administration of Gd-DTPA contrast media have been recorded. Results: In 39/42 patients the STIR sequence showed an increased Sr of the common extensor tendon. Increased MR signal of the lateral collateral ligament combined with a thickening and a partial rupture or a full thickness tear have been observed in 15/42 cases. A bone marrow edema at the lateral epicondylus was noticed in 6 of the studied patients and ajoint effusion in 18/42 patients. After administration of contrast media we noticed an average increase of SI by about 150%. However, enhanced MR imaging did not provide additional information. Conclusion: In MR imaging of chronic epicondylitis administration of gadolinium-DTPA does not provide additional information.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:52:44