Dr. Oron Frenkel, MD

A survey scan of the elbow can identify some of the most common pathologies that cause acute and chronic elbow pain such as tendinosis of the common flexor or extensor tendons, joint effusion, or olecranon bursitis.

Specialties: MSK, Orthopaedic Surgery, Sports Medicine
Applications: MSK
in patients presenting with elbow pain a quick focus scan can identify multiple pathologies on the differential diagnosis to perform a focused elbow scan i use the linear scanner here on an elbow or an msk preset i like to start my scan on the lateral epicondyle first looking for a joint diffusion that would be identified as black fluid coming out in the joint space and looking also at the common extensor tendon that comes in inserts here on the humeral epicondyle i'm looking for any signs of disruption calcification fluid around the tendon or i could put on power doppler to look for increased signal suggestive of tendinosis i'll repeat the same scan on the medial epicondyle i have to switch hands for the scan this time again now looking at the common flexor tendon that comes in inserts here on the medial epicondyle again looking for fluid calcification or disruption and finally i'll finish my scan on the posterior aspect looking at the triceps insertion here above the humerus and down into the olecranon looking for any signs of olecranon bursitis which here in a normal patient really only shows up as a potential space and as we can see in this patient there was no obvious pathology identified

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