ArticlePloS one2017
Ultrasonography versus magnetic resonance imaging in detecting and grading common extensor tendon tear in chronic lateral epicondylitis.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Elbow tendinopathy and occupational biomechanical overload: A systematic review with best-evidence synthesis.Journal of occupational health · 2021Pooled it
- Trial
- Prevalence of ultrasound-detected changes in the common extensor tendon of the elbow in asymptomatic amateur senior tennis players: associations with dominant arm and backhand technique.Skeletal radiology · 2026Article
- Ultrasound-Guided Pharmacopuncture Targeting the Myotendinous Junction for Refractory Common Extensor Tendinopathy: A Case Series.Diagnostics (Basel, Switzerland) · 2026Article
- A comprehensive review of ultrasonographic imaging in athletic elbow injuries: a compartment-based approach.Skeletal radiology · 2026Review
- Diagnostic Musculoskeletal Ultrasound for the Evaluation of the Lateral Elbow: Implications for Rehabilitation Providers.International journal of sports physical therapy · 2025Article
- Magnetic Resonance Imaging Findings of Extensor Carpi Radialis Brevis Origin and Synovial Fold in Lateral Epicondylitis.Journal of hand surgery global online · 2024Article
- Effectiveness of High-Power Laser Therapy via Shear Wave Speed Analysis on Pain and Functioning in Patients with Lateral Epicondylitis: A Proof-of-Concept Study.Journal of clinical medicine · 2024Article
- [Sports injuries : What type of imaging is required?]Radiologie (Heidelberg, Germany) · 2023Review
- MSK Ultrasound - An IJSPT Perspective.International journal of sports physical therapy · 2023Article
- MRI and Ultrasound Analysis of Corticosteroid Injection Combined with Extracorporeal Shockwave Therapy in Lateral Epicondylitis-A Prospective, Randomized, Double-Blinded, Placebo-Controlled Trial.Journal of personalized medicine · 2022Article
- Validation of a novel magnetic resonance imaging classification and recommended treatment for lateral elbow tendinopathy.BMC musculoskeletal disorders · 2022Article
- Lateral elbow tendinopathy and artificial intelligence: Binary and multilabel findings detection using machine learning algorithms.Frontiers in medicine · 2022Article
- Ultrasound evaluation shows increase in laxity after partial common extensor origin detachment but not after additional lesion of the radial band of the lateral collateral ligament.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Assessment of common extensor tendon elasticity in patients with lateral epicondylitis using shear wave elastography.Quantitative imaging in medicine and surgery · 2020Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the diagnostic performance and reliability of ultrasonography (US) in detecting and grading common extensor tendon (CET) tear in patients with chronic lateral epicondylitis (LE), using magnetic resonance imaging (MRI) as the reference standard. MATERIALS AND
methodsThe study comprised fifty-eight chronic LE patients. Each patient underwent US and MRI. CET status was classified as: high-grade tear (≥50% thickness), low-grade tear (<50% thickness), suspected tear (possible but not evident tear), no tear. Additionally, the following dichotomous scale was used: confirmed or unconfirmed CET tear. Relative US parameters (versus MRI) for detecting CET tear included: sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy. The agreement between US and MRI findings was measured using the weighted Cohen kappa coefficient (κ).
resultsUS showed moderate agreement with MRI in detecting and grading CET tear (κ = 0.49). Sensitivity, specificity, and accuracy in CET tear detecting by US were 64.52%, 85.19%, and 72.73%, respectively. PPV and NPV of US were 83.33% and 67.65%, respectively. No patient with unconfirmed CET tear on US had high-grade CET tear on MRI.
conclusionUltrasonography is a valuable imaging modality that can be used as a screening tool to exclude high-grade CET tear in chronic LE patients. Once a tear is evident on US, MRI should be considered to assess precisely the extent of tendon injury.
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