Online ISSN: 2515-8260

Keywords : chronical lateral epicondylitis

A randomized assessment of the potential relationship between magnetic resonance abnormalities of the common extensor tendon (CET) and its clinical symptoms in patients with chronic lateral epicondylitis

Dr. Srinivasa Reddy Mukku, Dr. Pruthvi M

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1920-1927

Aims and objective: The aim of the study is to evaluate of magnetic resonance imaging (MRI) of Patients with Chronic Lateral Epicondylitis and investigate whether there is a potential relationship between MRI abnormalities of the common extensor tendon (CET) and its clinical symptom.
Material and Methods: A randomized study was conducted in the Department Malla Reddy Institute of Medical Sciences, Hyderabad, Telangana, India for the period of 1 year. The study group comprised 120 consecutive patients (80 men and 40 women) with a clinical diagnosis of chronic lateral epicondylitis, which were examined on 1.5 T MR. an MRI scoring system was used to grade the degree of tendinopahty. Clinical symptoms were assessed using the Patient Rated Tennis Elbow Evaluation (PRTEE).
Results: Total 120 elbows had MRI assessed tendinopathy, that includes 50 (41.67%) with grade 1, 37 (30.83%) with grade 2, and 33 (27.5%) with grade 3. The average intra-observer agreement for grading the severity of tendinopathy was 79.17%. The median PRTEE score of all patients was 76 (range 8-98), the median PRTEE score of tendinopathy score 1 was 28, the median PRTEE score of tendinopathy score 2 was 54, and the median PRTEE score of tendinopathy score 3 was 98. The PRTEE scores were gradually increased with the tendinopathy scores. A significant positive correlation exist between tendinopathy scores and PRTEE scores (correlation coefficient r ¼ 0.945, P < 0.01).
Conclusion: MRI is a reliable tool in determining radiological severity of chronical lateral epicondylitis. The severity of MR signals changes positively correlate with the patient’s clinical symptom.