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Medicina dello Sport 1998 September;51(3):285-90


language: Italian

The magnetic resonance in the valuation of the tennis elbow. New diagnostic possibilities

Gribaudo C. G., Faletti C., Severin B., Astegiano P., Carasso P.

Istituto di Medicina dello Sport FMSI-CONI, Torino


This work has been carried out for a more specific evaluation of tennis players suffering from epicondylitis, since they have turned out to be insensitive to the estabilished therapy.
For all these athletes there has emerged the need for a deeper indagation of the pathology by utilizing magnetic resonance.
For the study of the cases concerning our research, we have utilized a magnetic resonance with a 0.2 Tesla Artroscan system.
All the subjects have been examined with weighed T1 spin echo sagittal, biecho axial, 3D gradient coronal, and STIR spin echo sequences.
We have considered 20 subjects practising tennis (15M-5F), of different age groups, agonist and not, with different workloads.
All the subjects have undergone an X-ray control (with negative result) and an ecographic indagation from which we have been able to observe the phlogistic problem at the supracondylar level which has turned out to be refractory to the therapy.
The MR indagation has corroborated the ecographic test and has allowed us to stress the connection of different and more complex pathologic patterns with humeral epicondylitis.
In large number of cases we have observed the presence of chondropathy in the radiohumeral articular region; in two cases the pathology was worsened by the presence of condromathosys joint bodies. These has emerged, moreover, the presence of areas with hyperintence edema in a minority of cases.
In conclusion, the possibility to profit by such a highly specific and sensitive methodology as MR has undoubtedly widened the diagnostic potentialities allowing, on the one hand to confirm the phlogistic pattern of the insertional zone of supracondylar muscles, on the other to emphasize the presence of associated or more likely intimately correlated pathologies that required a different therapeutic approach.

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